Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.40 / $973.32 / $3,441.03	Facility		$808.40	$973.32	$3,441.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $756.93 / $1,819.80	Professional		$636.59	$756.93	$1,819.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,693.21 / $1,693.21 / $1,693.21	Facility		$1,693.21	$1,693.21	$1,693.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $2,049.82	Professional		$636.59	$636.59	$2,049.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.30 / $2,520.00 / $3,960.00	Facility		$852.30	$2,520.00	$3,960.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.92 / $2,520.00 / $5,940.00	Facility		$983.92	$2,520.00	$5,940.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $690.64	Professional		$636.59	$636.59	$690.64
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $954.89 / $1,284.13	Professional		$636.59	$954.89	$1,284.13