Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.07 / $6,825.52 / $13,413.92	Facility		$1,074.07	$6,825.52	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $377.83 / $1,812.22	Professional		$199.38	$377.83	$1,812.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.58 / $657.44 / $1,207.67	Professional		$412.58	$657.44	$1,207.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.49 / $1,666.65 / $2,537.11	Facility		$1,165.49	$1,666.65	$2,537.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $590.33 / $708.39 / $1,133.43	Professional		$590.33	$708.39	$1,133.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.80 / $1,036.50 / $1,639.50	Professional		$789.80	$1,036.50	$1,639.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,165.49 / $1,666.65 / $2,537.11	Facility		$1,165.49	$1,666.65	$2,537.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.52 / $983.70 / $1,654.50	Professional		$459.52	$983.70	$1,654.50
United Facility/Professional Professional Modifier Low / Median / High Price $419.14 / $966.14 / $1,457.52	Professional		$419.14	$966.14	$1,457.52