Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.74 / $7,340.00 / $13,413.92	Facility		$1,312.74	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.38 / $1,312.74 / $2,226.46	Professional		$337.38	$1,312.74	$2,226.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.67 / $1,274.96 / $2,017.73	Professional		$921.67	$1,274.96	$2,017.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.67 / $1,783.01 / $3,117.04	Facility		$403.67	$1,783.01	$3,117.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $894.38 / $1,360.50 / $2,733.90	Professional		$894.38	$1,360.50	$2,733.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.50 / $2,032.90 / $2,917.20	Professional		$1,382.50	$2,032.90	$2,917.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.95 / $1,892.49 / $3,117.04	Facility		$431.95	$1,892.49	$3,117.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $2,096.25 / $3,022.00	Professional		$816.00	$2,096.25	$3,022.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,486.14 / $6,486.14 / $6,486.14	Facility		$6,486.14	$6,486.14	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.48 / $2,212.84 / $2,781.86	Professional		$1,264.48	$2,212.84	$2,781.86