Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.98 / $964.92 / $3,411.34	Facility		$571.98	$964.92	$3,411.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $529.25 / $1,221.65	Professional		$529.25	$529.25	$1,221.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,407.72 / $1,407.72 / $1,407.72	Facility		$1,407.72	$1,407.72	$1,407.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $1,704.22	Professional		$529.26	$529.26	$1,704.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.53 / $1,932.00 / $3,036.00	Facility		$794.53	$1,932.00	$3,036.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $786.40 / $1,932.00 / $4,554.00	Facility		$786.40	$1,932.00	$4,554.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $574.20	Professional		$529.26	$529.26	$574.20
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $793.89 / $1,067.61	Professional		$529.26	$793.89	$1,067.61