Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.66 / $1,062.58 / $3,756.59	Facility		$648.66	$1,062.58	$3,756.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.82 / $1,102.99 / $1,345.28	Professional		$582.82	$1,102.99	$1,345.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,577.28 / $1,577.28 / $1,577.28	Facility		$1,577.28	$1,577.28	$1,577.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $1,909.46	Professional		$593.00	$593.00	$1,909.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.50 / $1,090.59 / $1,713.80	Facility		$863.50	$1,090.59	$1,713.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $852.70 / $1,558.00 / $2,570.69	Facility		$852.70	$1,558.00	$2,570.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $643.36	Professional		$593.00	$593.00	$643.36
United Facility/Professional Professional Modifier Low / Median / High Price $411.94 / $889.50 / $1,196.20	Professional		$411.94	$889.50	$1,196.20