Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.86 / $10,175.36 / $13,413.92	Facility		$1,051.86	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,242.22 / $1,349.53 / $1,774.74	Professional		$1,242.22	$1,349.53	$1,774.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.47 / $519.54 / $1,177.74	Professional		$382.47	$519.54	$1,177.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,242.22 / $1,774.74 / $2,484.64	Facility		$1,242.22	$1,774.74	$2,484.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $621.85 / $746.22 / $1,096.56	Professional		$621.85	$746.22	$1,096.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.61 / $1,075.06 / $1,579.74	Professional		$612.61	$1,075.06	$1,579.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,242.22 / $1,774.74 / $2,484.64	Facility		$1,242.22	$1,774.74	$2,484.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.15 / $858.99 / $1,590.00	Professional		$415.15	$858.99	$1,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.14 / $942.20 / $1,421.41	Professional		$401.14	$942.20	$1,421.41