Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.22 / $3,372.24 / $5,729.54	Facility		$723.22	$3,372.24	$5,729.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,637.01 / $1,637.01 / $3,142.08	Professional		$1,637.01	$1,637.01	$3,142.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.93 / $1,349.93 / $1,349.93	Facility		$1,349.93	$1,349.93	$1,349.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.31 / $358.31 / $772.55	Professional		$358.31	$358.31	$772.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,340.92 / $2,340.92 / $2,340.92	Facility		$2,340.92	$2,340.92	$2,340.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $488.66 / $1,573.49	Professional		$488.66	$488.66	$1,573.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,710.31 / $1,881.34 / $3,152.01	Facility		$1,710.31	$1,881.34	$3,152.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $1,099.49 / $1,099.49	Professional		$439.79	$1,099.49	$1,099.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,349.93 / $1,881.34 / $3,152.01	Facility		$1,349.93	$1,881.34	$3,152.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.31 / $488.66 / $772.55	Professional		$358.31	$488.66	$772.55
United Facility/Professional Professional Modifier Low / Median / High Price $682.72 / $1,206.56 / $1,474.39	Professional		$682.72	$1,206.56	$1,474.39