Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,000.00 / $20,417.38	Facility		$1,548.82	$10,000.00	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,548.82	Professional		$549.54	$707.95	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,344.23	Professional		$1,288.25	$1,778.28	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $954.99 / $3,630.78	Facility		$467.74	$954.99	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,630.27	Professional		$1,230.27	$1,778.28	$2,630.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,235.94	Professional		$1,778.28	$2,187.76	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $2,818.38	Facility		$501.19	$812.83	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $776.25 / $1,778.28	Professional		$60.26	$776.25	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,454.71 / $3,162.28	Professional		$602.56	$2,454.71	$3,162.28