Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $1,995.26	Facility		$758.58	$1,548.82	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,071.52	Professional		$660.69	$758.58	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $1,995.26	Facility		$724.44	$1,479.11	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $660.69 / $1,071.52	Professional		$60.26	$660.69	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,737.80	Facility		$1,122.02	$1,122.02	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,548.82	Facility		$1,071.52	$1,071.52	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $676.08	Professional		$60.26	$60.26	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,862.09	Professional		$660.69	$1,000.00	$1,862.09