Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.73 / $1,367.96 / $4,836.22	Facility		$756.73	$1,367.96	$4,836.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.32 / $1,392.85 / $1,731.92	Professional		$750.32	$1,392.85	$1,731.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Professional		$748.84	$748.84	$748.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,991.78 / $1,991.78 / $1,991.78	Facility		$1,991.78	$1,991.78	$1,991.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $2,411.30	Professional		$748.85	$748.85	$2,411.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,079.83 / $1,167.57 / $1,834.76	Facility		$1,079.83	$1,167.57	$1,834.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,065.92 / $1,667.96 / $2,752.13	Facility		$1,065.92	$1,667.96	$2,752.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $812.43	Professional		$748.84	$748.84	$812.43
United Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $1,123.28 / $1,510.58	Professional		$748.85	$1,123.28	$1,510.58