Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.41 / $10,175.36 / $13,413.92	Facility		$910.41	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $1,390.52 / $1,544.08	Professional		$258.61	$1,390.52	$1,544.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.25 / $948.07 / $1,354.03	Professional		$700.25	$948.07	$1,354.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.38 / $1,390.52 / $2,161.71	Facility		$290.38	$1,390.52	$2,161.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $693.83 / $936.42 / $1,881.75	Professional		$693.83	$936.42	$1,881.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,067.30 / $1,436.75 / $1,838.00	Professional		$1,067.30	$1,436.75	$1,838.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.38 / $1,390.52 / $2,161.71	Facility		$290.38	$1,390.52	$2,161.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.63 / $1,393.20 / $1,875.99	Professional		$570.63	$1,393.20	$1,875.99
United Facility/Professional Professional Modifier Low / Median / High Price $838.34 / $1,467.10 / $1,844.35	Professional		$838.34	$1,467.10	$1,844.35