Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.34 / $1,473.40 / $5,208.97	Facility		$814.34	$1,473.40	$5,208.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,480.73 / $1,480.73 / $1,684.63	Professional		$1,480.73	$1,480.73	$1,684.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $806.51	Professional		$796.09	$796.09	$806.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $835.90 / $835.90 / $835.90	Facility		$835.90	$835.90	$835.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $2,563.41	Professional		$796.09	$796.09	$2,563.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.66 / $1,254.35 / $1,971.13	Facility		$743.66	$1,254.35	$1,971.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.66 / $985.57 / $1,075.16	Professional		$743.66	$985.57	$1,075.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $835.90 / $835.90 / $1,791.94	Facility		$835.90	$835.90	$1,791.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $863.68 / $985.57	Professional		$796.09	$863.68	$985.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.53 / $1,194.14 / $2,388.27	Professional		$1,114.53	$1,194.14	$2,388.27