Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.25 / $6,541.00 / $13,413.92	Facility		$1,059.25	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.75 / $1,624.32 / $1,796.53	Professional		$315.75	$1,624.32	$1,796.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.71 / $1,057.99 / $1,664.20	Professional		$804.71	$1,057.99	$1,664.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.14 / $1,624.32 / $2,515.14	Facility		$328.14	$1,624.32	$2,515.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $862.85 / $1,153.80 / $2,318.55	Professional		$862.85	$1,153.80	$2,318.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,236.30 / $1,776.25 / $2,122.37	Professional		$1,236.30	$1,776.25	$2,122.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.79 / $1,624.32 / $2,515.14	Facility		$351.79	$1,624.32	$2,515.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.94 / $1,692.80 / $2,173.04	Professional		$712.94	$1,692.80	$2,173.04
United Facility/Professional Professional Modifier Low / Median / High Price $932.74 / $1,865.48 / $2,052.03	Professional		$932.74	$1,865.48	$2,052.03