Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $14,454.40	Facility		$2,511.89	$6,606.93	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $2,691.53	Professional		$398.11	$575.44	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $3,715.35	Facility		$524.81	$691.83	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $3,715.35	Professional		$831.76	$1,659.59	$3,715.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,090.30	Professional		$2,238.72	$2,238.72	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,691.53 / $3,801.89	Facility		$645.65	$2,691.53	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $478.63 / $1,621.81	Professional		$60.26	$478.63	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $3,235.94	Professional		$1,288.25	$1,513.56	$3,235.94