Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.50 / $6,541.00 / $13,413.92	Facility		$1,022.50	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.61 / $1,619.37 / $1,734.18	Professional		$313.61	$1,619.37	$1,734.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.32 / $1,070.03 / $1,584.29	Professional		$805.32	$1,070.03	$1,584.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $337.13 / $1,619.37 / $2,427.85	Facility		$337.13	$1,619.37	$2,427.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $853.95 / $1,104.30 / $2,219.10	Professional		$853.95	$1,104.30	$2,219.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,233.70 / $1,744.20 / $2,086.00	Professional		$1,233.70	$1,744.20	$2,086.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.13 / $1,619.37 / $2,427.85	Facility		$337.13	$1,619.37	$2,427.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.80 / $1,666.00 / $2,111.85	Professional		$686.80	$1,666.00	$2,111.85
United Facility/Professional Professional Modifier Low / Median / High Price $908.48 / $1,589.84 / $1,998.66	Professional		$908.48	$1,589.84	$1,998.66