Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.65 / $4,036.41 / $6,857.97	Facility		$865.65	$4,036.41	$6,857.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,959.42 / $1,959.42 / $3,760.91	Professional		$1,959.42	$1,959.42	$3,760.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,615.81 / $1,615.81 / $1,615.81	Facility		$1,615.81	$1,615.81	$1,615.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.11 / $364.11 / $364.11	Professional		$364.11	$364.11	$364.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,801.97 / $2,801.97 / $2,801.97	Facility		$2,801.97	$2,801.97	$2,801.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $1,883.38	Professional		$584.90	$584.90	$1,883.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,047.15 / $2,164.13 / $2,339.60	Facility		$2,047.15	$2,164.13	$2,339.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $1,316.03 / $1,316.03	Professional		$526.41	$1,316.03	$1,316.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,615.81 / $2,164.13 / $2,801.97	Facility		$1,615.81	$2,164.13	$2,801.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.11 / $1,608.48 / $1,608.48	Professional		$364.11	$1,608.48	$1,608.48
United Facility/Professional Professional Modifier Low / Median / High Price $722.10 / $1,444.20 / $1,764.77	Professional		$722.10	$1,444.20	$1,764.77