Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.69 / $1,064.91 / $1,979.78	Professional		$833.69	$1,064.91	$1,979.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,874.56 / $2,337.16 / $3,151.30	Professional		$1,874.56	$2,337.16	$3,151.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $1,979.78 / $3,029.06	Facility		$307.14	$1,979.78	$3,029.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.79 / $1,451.13 / $1,759.10	Professional		$1,015.79	$1,451.13	$1,759.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,390.50 / $3,690.00 / $5,398.50	Professional		$1,390.50	$3,690.00	$5,398.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.95 / $1,979.78 / $3,029.06	Facility		$255.95	$1,979.78	$3,029.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,545.00 / $4,434.14 / $2,478,000.00	Professional		$1,545.00	$4,434.14	$2,478,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,513.60 / $4,738.35 / $7,027.20	Professional		$3,513.60	$4,738.35	$7,027.20