Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $9,549.93	Facility		$3,715.35	$3,715.35	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $933.25 / $1,995.26	Professional		$223.87	$933.25	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $3,311.31	Professional		$776.25	$776.25	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,513.56 / $7,244.36	Facility		$263.03	$1,513.56	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,548.82 / $7,585.78	Professional		$489.78	$1,548.82	$7,585.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $5,888.44	Professional		$870.96	$1,412.54	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,513.56 / $7,585.78	Facility		$426.58	$1,513.56	$7,585.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $302.00 / $3,311.31	Professional		$60.26	$302.00	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,445.44 / $3,981.07	Professional		$549.54	$1,445.44	$3,981.07