Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $10,964.78 / $16,595.87	Facility		$1,584.89	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,584.89	Professional		$478.63	$660.69	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,290.87	Professional		$1,288.25	$1,698.24	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $3,630.78	Facility		$489.78	$870.96	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $2,754.23	Professional		$1,258.93	$1,862.09	$2,754.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,019.95	Professional		$1,659.59	$2,187.76	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $2,818.38	Facility		$489.78	$870.96	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $724.44 / $1,698.24	Professional		$60.26	$724.44	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,344.23 / $3,019.95	Professional		$616.60	$2,344.23	$3,019.95