Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.41 / $5,084.91 / $13,413.92	Facility		$286.41	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.75 / $1,833.89 / $1,973.10	Professional		$355.75	$1,833.89	$1,973.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.17 / $1,204.58 / $1,808.85	Professional		$912.17	$1,204.58	$1,808.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.60 / $1,833.89 / $2,762.34	Facility		$370.60	$1,833.89	$2,762.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $966.35 / $1,255.68 / $2,523.30	Professional		$966.35	$1,255.68	$2,523.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,401.40 / $1,982.20 / $2,364.00	Professional		$1,401.40	$1,982.20	$2,364.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.46 / $1,833.89 / $2,762.34	Facility		$384.46	$1,833.89	$2,762.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.04 / $1,870.75 / $2,410.19	Professional		$784.04	$1,870.75	$2,410.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.83 / $1,802.22 / $2,265.65	Professional		$1,029.83	$1,802.22	$2,265.65