Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.82 / $4,302.30 / $10,900.00	Facility		$1,494.82	$4,302.30	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $515.53 / $1,671.54	Professional		$200.71	$515.53	$1,671.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.61 / $539.74 / $1,009.82	Professional		$422.61	$539.74	$1,009.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,195.85 / $1,674.20 / $2,105.94	Facility		$1,195.85	$1,674.20	$2,105.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $610.54 / $732.66 / $935.46	Professional		$610.54	$732.66	$935.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.95 / $1,055.49 / $1,353.00	Professional		$602.95	$1,055.49	$1,353.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,195.85 / $1,674.20 / $2,105.94	Facility		$1,195.85	$1,674.20	$2,105.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.45 / $903.45 / $1,663.15	Professional		$428.45	$903.45	$1,663.15
United Facility/Professional Professional Modifier Low / Median / High Price $354.44 / $807.86 / $807.86	Professional		$354.44	$807.86	$807.86