Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $4,365.16	Facility		$1,548.82	$2,754.23	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $1,202.26	Professional		$288.40	$346.74	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $1,698.24	Facility		$354.81	$354.81	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,148.15	Professional		$354.81	$354.81	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,318.26 / $1,412.54	Facility		$354.81	$1,318.26	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $977.24 / $1,698.24	Facility		$281.84	$977.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $707.95 / $1,071.52	Professional		$213.80	$707.95	$1,071.52