Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.62 / $3,029.07 / $5,146.47	Facility		$649.62	$3,029.07	$5,146.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.62 / $1,470.42 / $1,470.42	Professional		$649.62	$1,470.42	$1,470.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,602.17 / $3,602.17 / $3,602.17	Facility		$3,602.17	$3,602.17	$3,602.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.36 / $1,498.36 / $1,872.96	Professional		$1,498.36	$1,498.36	$1,872.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $276.52 / $276.52	Facility		$276.52	$276.52	$276.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $5,215.80	Professional		$1,303.95	$1,303.95	$5,215.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,536.26 / $4,824.62 / $5,215.80	Facility		$1,536.26	$4,824.62	$5,215.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $903.15 / $2,167.56	Professional		$395.04	$903.15	$2,167.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $276.52 / $276.52	Facility		$276.52	$276.52	$276.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $572.00 / $1,303.95	Professional		$438.93	$572.00	$1,303.95
United Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $877.86 / $1,324.34	Professional		$270.95	$877.86	$1,324.34