Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,162.28 / $14,125.38	Facility		$1,548.82	$3,162.28	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $1,230.27	Professional		$316.23	$562.34	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $2,398.83	Professional		$794.33	$1,288.25	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,071.52 / $3,019.95	Facility		$380.19	$1,071.52	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,445.44 / $2,691.53	Professional		$724.44	$1,445.44	$2,691.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,884.03	Professional		$1,202.26	$1,905.46	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $758.58 / $2,290.87	Facility		$398.11	$758.58	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $691.83 / $1,288.25	Professional		$60.26	$691.83	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,479.11 / $2,691.53	Professional		$501.19	$1,479.11	$2,691.53