Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $10,964.78 / $16,595.87	Facility		$1,778.28	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,778.28	Professional		$537.03	$758.58	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,570.40	Professional		$1,445.44	$1,949.84	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $4,073.80	Facility		$549.54	$891.25	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,090.30	Professional		$1,445.44	$2,089.30	$3,090.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,467.37	Professional		$1,905.46	$2,511.89	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $3,162.28	Facility		$549.54	$870.96	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $812.83 / $1,949.84	Professional		$60.26	$812.83	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,344.23 / $3,388.44	Professional		$691.83	$2,344.23	$3,388.44