Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.75 / $9,577.00 / $14,552.94	Facility		$1,472.75	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $545.92 / $2,497.84	Professional		$329.62	$545.92	$2,497.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.61 / $1,288.32 / $2,241.52	Professional		$926.61	$1,288.32	$2,241.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.42 / $1,837.68 / $3,496.98	Facility		$430.42	$1,837.68	$3,496.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $897.63 / $1,508.97 / $3,032.25	Professional		$897.63	$1,508.97	$3,032.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,387.50 / $2,099.25 / $3,070.00	Professional		$1,387.50	$2,099.25	$3,070.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.49 / $2,021.45 / $3,496.98	Facility		$467.49	$2,021.45	$3,496.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.64 / $1,961.00 / $3,006.90	Professional		$762.64	$1,961.00	$3,006.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,377.90 / $2,411.33 / $3,031.38	Professional		$1,377.90	$2,411.33	$3,031.38