Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.24 / $10,175.36 / $13,413.92	Facility		$1,256.24	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.26 / $1,654.70 / $2,445.17	Professional		$766.26	$1,654.70	$2,445.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.73 / $1,013.73 / $1,425.28	Professional		$1,013.73	$1,013.73	$1,425.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $2,119.55 / $2,967.37	Facility		$383.00	$2,119.55	$2,967.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $802.20 / $2,083.19 / $2,913.08	Professional		$802.20	$2,083.19	$2,913.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,325.70 / $1,792.00 / $2,628.00	Professional		$1,325.70	$1,792.00	$2,628.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $2,119.55 / $2,967.37	Facility		$383.00	$2,119.55	$2,967.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.13 / $1,643.75 / $2,628.00	Professional		$646.13	$1,643.75	$2,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,140.22 / $1,193.41 / $2,614.27	Professional		$1,140.22	$1,193.41	$2,614.27