Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $5,754.40	Facility		$1,995.26	$3,630.78	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $457.09 / $1,548.82	Professional		$12.88	$457.09	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $2,238.72	Facility		$467.74	$467.74	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,513.56	Professional		$467.74	$467.74	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,737.80 / $1,862.09	Facility		$467.74	$1,737.80	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,288.25 / $2,238.72	Facility		$371.54	$1,288.25	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $933.25 / $1,412.54	Professional		$281.84	$933.25	$1,412.54