Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $8,912.51 / $14,125.38	Facility		$2,089.30	$8,912.51	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $1,000.00	Professional		$323.59	$426.58	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,513.56	Professional		$812.83	$1,071.52	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $933.25 / $2,398.83	Facility		$323.59	$933.25	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,096.48 / $1,995.26	Professional		$562.34	$1,096.48	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,995.26	Professional		$1,071.52	$1,445.44	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $1,819.70	Facility		$323.59	$630.96	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $457.09 / $1,071.52	Professional		$60.26	$457.09	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,479.11 / $1,905.46	Professional		$407.38	$1,479.11	$1,905.46