Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $972.17 / $1,343.06	Professional		$29.85	$972.17	$1,343.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.57 / $1,077.57 / $1,077.57	Professional		$1,077.57	$1,077.57	$1,077.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.75 / $1,072.43 / $2,013.35	Facility		$44.75	$1,072.43	$2,013.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $1,392.30 / $3,823.56	Professional		$84.10	$1,392.30	$3,823.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.75 / $141.75 / $3,495.87	Facility		$141.75	$141.75	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $1,274.00 / $5,250.45	Professional		$66.62	$1,274.00	$5,250.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $1,083.33 / $2,013.35	Facility		$49.23	$1,083.33	$2,013.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $1,274.00 / $4,614.00	Professional		$63.11	$1,274.00	$4,614.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,441.50 / $2,805.53 / $3,279.35	Professional		$2,441.50	$2,805.53	$3,279.35