Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.58 / $7,340.00 / $13,413.92	Facility		$1,256.58	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $439.60 / $2,120.15	Professional		$265.16	$439.60	$2,120.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.37 / $773.91 / $1,432.59	Professional		$548.37	$773.91	$1,432.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,547.66 / $2,166.71 / $2,968.21	Facility		$1,547.66	$2,166.71	$2,968.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $768.23 / $921.87 / $1,308.08	Professional		$768.23	$921.87	$1,308.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.53 / $1,377.50 / $1,927.50	Professional		$761.53	$1,377.50	$1,927.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,547.66 / $2,166.71 / $2,968.21	Facility		$1,547.66	$2,166.71	$2,968.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.84 / $1,182.50 / $2,199.12	Professional		$577.84	$1,182.50	$2,199.12
United Facility/Professional Professional Modifier Low / Median / High Price $486.78 / $1,146.08 / $1,728.98	Professional		$486.78	$1,146.08	$1,728.98