Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.65 / $6,479.00 / $13,413.92	Facility		$1,332.65	$6,479.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.62 / $625.79 / $2,260.23	Professional		$307.62	$625.79	$2,260.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.55 / $1,161.13 / $2,045.49	Professional		$830.55	$1,161.13	$2,045.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.13 / $1,657.48 / $3,164.32	Facility		$376.13	$1,657.48	$3,164.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $829.70 / $1,389.60 / $2,792.40	Professional		$829.70	$1,389.60	$2,792.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.50 / $1,877.58 / $2,754.00	Professional		$1,282.50	$1,877.58	$2,754.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.50 / $1,823.23 / $3,164.32	Facility		$425.50	$1,823.23	$3,164.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.10 / $1,792.50 / $2,692.95	Professional		$694.10	$1,792.50	$2,692.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.96 / $1,866.08 / $2,721.31	Professional		$1,236.96	$1,866.08	$2,721.31