Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.94 / $10,175.36 / $13,413.92	Facility		$1,256.94	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $1,612.29 / $2,131.80	Professional		$304.08	$1,612.29	$2,131.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.64 / $1,055.54 / $1,951.63	Professional		$794.64	$1,055.54	$1,951.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.64 / $1,612.29 / $2,984.52	Facility		$313.64	$1,612.29	$2,984.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $807.85 / $1,312.95 / $2,638.35	Professional		$807.85	$1,312.95	$2,638.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.75 / $1,826.55 / $2,503.28	Professional		$1,248.75	$1,826.55	$2,503.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $413.45 / $1,773.52 / $2,984.52	Facility		$413.45	$1,773.52	$2,984.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $678.75 / $1,698.75 / $2,406.00	Professional		$678.75	$1,698.75	$2,406.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.35 / $1,647.76 / $2,402.92	Professional		$1,071.35	$1,647.76	$2,402.92