Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.67 / $6,541.00 / $13,413.92	Facility		$1,254.67	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.10 / $774.92 / $2,116.92	Professional		$307.10	$774.92	$2,116.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.85 / $756.37 / $1,424.43	Professional		$601.85	$756.37	$1,424.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,734.31 / $2,428.03 / $2,963.69	Facility		$1,734.31	$2,428.03	$2,963.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $884.68 / $1,061.60 / $1,316.82	Professional		$884.68	$1,061.60	$1,316.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.21 / $1,525.50 / $1,900.50	Professional		$870.21	$1,525.50	$1,900.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,734.31 / $2,428.03 / $2,963.69	Facility		$1,734.31	$2,428.03	$2,963.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.85 / $1,278.00 / $2,389.52	Professional		$601.85	$1,278.00	$2,389.52
United Facility/Professional Professional Modifier Low / Median / High Price $483.74 / $1,139.54 / $1,719.12	Professional		$483.74	$1,139.54	$1,719.12