Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.13 / $3,511.70 / $5,966.48	Facility		$753.13	$3,511.70	$5,966.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.71 / $1,704.71 / $3,272.03	Professional		$1,704.71	$1,704.71	$3,272.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,405.77 / $1,405.77 / $1,405.77	Facility		$1,405.77	$1,405.77	$1,405.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.93 / $257.93 / $573.44	Professional		$257.93	$257.93	$573.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,437.73 / $2,437.73 / $2,437.73	Facility		$2,437.73	$2,437.73	$2,437.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.98 / $508.87 / $1,638.56	Professional		$457.98	$508.87	$1,638.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,781.05 / $1,882.82 / $2,035.48	Facility		$1,781.05	$1,882.82	$2,035.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.98 / $1,144.96 / $1,144.96	Professional		$457.98	$1,144.96	$1,144.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,405.77 / $1,882.82 / $2,437.73	Facility		$1,405.77	$1,882.82	$2,437.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.93 / $573.44 / $1,399.39	Professional		$257.93	$573.44	$1,399.39
United Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $1,017.74 / $1,535.37	Professional		$508.87	$1,017.74	$1,535.37