Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $9,772.37 / $14,125.38	Facility		$2,041.74	$9,772.37	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $741.31 / $1,288.25	Professional		$169.82	$741.31	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $2,754.23	Professional		$645.65	$645.65	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,288.25 / $4,897.79	Facility		$251.19	$1,288.25	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,258.93 / $4,677.35	Professional		$380.19	$1,258.93	$4,677.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $5,011.87	Professional		$707.95	$1,174.90	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,288.25 / $4,897.79	Facility		$323.59	$1,288.25	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $251.19 / $2,754.23	Professional		$60.26	$251.19	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,513.56 / $5,495.41	Professional		$457.09	$1,513.56	$5,495.41