Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $12,022.64 / $20,892.96	Facility		$1,445.44	$12,022.64	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,862.09	Professional		$489.78	$758.58	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,884.03	Professional		$1,258.93	$1,659.59	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $3,388.44	Facility		$489.78	$1,047.13	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $3,311.31	Professional		$1,230.27	$2,137.96	$3,311.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,630.78	Professional		$1,819.70	$2,691.53	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $3,388.44	Facility		$602.56	$912.01	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $912.01 / $1,659.59	Professional		$60.26	$912.01	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,511.89 / $3,630.78	Professional		$645.65	$2,511.89	$3,630.78