Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $1,352.72	Facility		$0.02	$0.03	$1,352.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $5,877.02 / $5,877.02	Professional		$0.03	$5,877.02	$5,877.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,524.92 / $2,524.92 / $2,524.92	Facility		$2,524.92	$2,524.92	$2,524.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $2,943.08	Professional		$914.00	$914.00	$2,943.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,199.00 / $3,381.80 / $3,656.00	Facility		$3,199.00	$3,381.80	$3,656.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.60 / $2,056.50 / $2,056.50	Professional		$822.60	$2,056.50	$2,056.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,524.92 / $3,381.80 / $3,656.00	Facility		$2,524.92	$3,381.80	$3,656.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $822.60 / $2,513.50 / $2,513.50	Professional		$822.60	$2,513.50	$2,513.50
United Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,828.00 / $2,757.73	Professional		$914.00	$1,828.00	$2,757.73