Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.64 / $1,028.53 / $3,636.22	Facility		$602.64	$1,028.53	$3,636.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.15 / $1,038.73 / $1,422.45	Professional		$564.15	$1,038.73	$1,422.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,485.38 / $1,485.38 / $1,485.38	Facility		$1,485.38	$1,485.38	$1,485.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $1,798.24	Professional		$558.46	$558.46	$1,798.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $818.45 / $878.04 / $1,379.77	Facility		$818.45	$878.04	$1,379.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $822.53 / $1,254.33 / $2,069.66	Facility		$822.53	$1,254.33	$2,069.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $605.88	Professional		$558.46	$558.46	$605.88
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $837.69 / $1,126.53	Professional		$558.46	$837.69	$1,126.53