Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.52 / $7,340.00 / $13,413.92	Facility		$1,095.52	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.77 / $396.47 / $1,848.41	Professional		$243.77	$396.47	$1,848.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.63 / $679.03 / $1,252.57	Professional		$489.63	$679.03	$1,252.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.14 / $1,932.20 / $2,587.77	Facility		$1,380.14	$1,932.20	$2,587.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $684.93 / $821.91 / $1,134.39	Professional		$684.93	$821.91	$1,134.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.01 / $1,228.15 / $1,683.00	Professional		$677.01	$1,228.15	$1,683.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.14 / $1,932.20 / $2,587.77	Facility		$1,380.14	$1,932.20	$2,587.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.12 / $1,051.25 / $1,956.36	Professional		$512.12	$1,051.25	$1,956.36
United Facility/Professional Professional Modifier Low / Median / High Price $424.84 / $1,002.06 / $1,511.71	Professional		$424.84	$1,002.06	$1,511.71