Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $7,413.10	Facility		$2,570.40	$4,677.35	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $562.34 / $1,995.26	Professional		$245.47	$562.34	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,995.26 / $4,265.80	Facility		$602.56	$1,995.26	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,949.84 / $1,949.84	Professional		$575.44	$1,949.84	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,238.72 / $2,398.83	Facility		$602.56	$2,238.72	$2,398.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,659.59 / $2,884.03	Facility		$478.63	$1,659.59	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $602.56 / $912.01	Professional		$181.97	$602.56	$912.01