Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $5,248.07	Facility		$1,862.09	$3,311.31	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $1,445.44	Professional		$346.74	$416.87	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $3,090.30	Facility		$426.58	$426.58	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,288.25 / $1,380.38	Professional		$380.19	$1,288.25	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $1,698.24	Facility		$1,479.11	$1,584.89	$1,698.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,174.90 / $2,041.74	Facility		$338.84	$1,174.90	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $380.19	Professional		$60.26	$60.26	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $851.14 / $1,288.25	Professional		$257.04	$851.14	$1,288.25