Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $724.44 / $1,148.15	Professional		$707.95	$724.44	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $4,073.80	Facility		$1,148.15	$1,659.59	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $676.08 / $1,148.15	Professional		$60.26	$676.08	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,862.09	Facility		$1,202.26	$1,202.26	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,659.59	Facility		$1,148.15	$1,148.15	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $758.58	Professional		$60.26	$60.26	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $3,388.44	Professional		$707.95	$1,122.02	$3,388.44