Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $7,079.46 / $14,125.38	Facility		$977.24	$7,079.46	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $630.96 / $1,584.89	Professional		$295.12	$630.96	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,949.84	Professional		$1,122.02	$1,122.02	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $575.44 / $2,951.21	Facility		$275.42	$575.44	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,862.09	Professional		$575.44	$1,023.29	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $2,691.53	Professional		$776.25	$1,412.54	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $616.60 / $2,951.21	Facility		$251.19	$616.60	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $602.56 / $1,905.46	Professional		$60.26	$602.56	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $1,548.82	Professional		$489.78	$912.01	$1,548.82