Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,606.93 / $16,595.87	Facility		$1,584.89	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,584.89	Professional		$478.63	$676.08	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,290.87	Professional		$1,288.25	$1,737.80	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $3,630.78	Facility		$489.78	$831.76	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,754.23	Professional		$1,288.25	$1,862.09	$2,754.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,019.95	Professional		$1,698.24	$2,238.72	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $2,818.38	Facility		$501.19	$831.76	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $724.44 / $1,737.80	Professional		$60.26	$724.44	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,089.30 / $3,019.95	Professional		$616.60	$2,089.30	$3,019.95