Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $10,715.19 / $14,125.38	Facility		$1,905.46	$10,715.19	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $3,162.28	Professional		$575.44	$794.33	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Professional		$2,137.96	$2,137.96	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $4,466.84	Facility		$575.44	$831.76	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,570.40	Professional		$1,348.96	$1,949.84	$2,570.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $3,548.13	Professional		$1,621.81	$2,691.53	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $4,466.84	Facility		$575.44	$891.25	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,096.48 / $2,454.71	Professional		$60.26	$1,096.48	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $2,570.40	Professional		$1,023.29	$1,995.26	$2,570.40