Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.60 / $3,588.52 / $6,097.00	Facility		$769.60	$3,588.52	$6,097.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,742.00 / $1,742.00 / $3,343.60	Professional		$1,742.00	$1,742.00	$3,343.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,436.50 / $1,436.50 / $1,436.50	Facility		$1,436.50	$1,436.50	$1,436.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,491.06 / $2,491.06 / $2,491.06	Facility		$2,491.06	$2,491.06	$2,491.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $520.00 / $1,674.40	Professional		$520.00	$520.00	$1,674.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $1,924.00 / $2,080.00	Facility		$1,820.00	$1,924.00	$2,080.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $1,170.00 / $1,170.00	Professional		$468.00	$1,170.00	$1,170.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,436.50 / $1,924.00 / $2,491.06	Facility		$1,436.50	$1,924.00	$2,491.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $1,430.00 / $1,430.00	Professional		$468.00	$1,430.00	$1,430.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $1,040.00 / $1,568.95	Professional		$520.00	$1,040.00	$1,568.95