Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $9,772.37 / $14,125.38	Facility		$1,202.26	$9,772.37	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,071.52	Professional		$380.19	$524.81	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,737.80	Professional		$1,000.00	$1,318.26	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,949.84 / $6,165.95	Facility		$380.19	$1,949.84	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $2,137.96	Professional		$691.83	$1,258.93	$2,137.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,344.23	Professional		$1,288.25	$1,659.59	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $758.58 / $2,754.23	Facility		$380.19	$758.58	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $549.54 / $1,318.26	Professional		$60.26	$549.54	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,584.89 / $2,344.23	Professional		$478.63	$1,584.89	$2,344.23