Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,677.35 / $14,125.38	Facility		$1,445.44	$4,677.35	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,318.26	Professional		$389.05	$562.34	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,949.84	Professional		$1,071.52	$1,412.54	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,621.81 / $3,019.95	Facility		$416.87	$1,621.81	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,398.83	Professional		$1,096.48	$1,445.44	$2,398.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,570.40	Professional		$1,412.54	$1,905.46	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $3,019.95	Facility		$416.87	$660.69	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $602.56 / $1,412.54	Professional		$60.26	$602.56	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,698.24 / $2,511.89	Professional		$416.87	$1,698.24	$2,511.89