Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $6,825.52 / $13,847.83	Facility		$1,872.00	$6,825.52	$13,847.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.44 / $294.00 / $1,492.94	Professional		$178.44	$294.00	$1,492.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.16 / $536.08 / $1,018.72	Professional		$392.16	$536.08	$1,018.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,123.18 / $1,572.45 / $2,090.12	Facility		$1,123.18	$1,572.45	$2,090.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.23 / $653.07 / $903.45	Professional		$544.23	$653.07	$903.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $975.85 / $1,339.50	Professional		$540.96	$975.85	$1,339.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,123.18 / $1,572.45 / $2,090.12	Facility		$1,123.18	$1,572.45	$2,090.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.20 / $840.00 / $1,577.94	Professional		$409.20	$840.00	$1,577.94
United Facility/Professional Professional Modifier Low / Median / High Price $340.48 / $814.98 / $1,229.48	Professional		$340.48	$814.98	$1,229.48