Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $12,022.64 / $16,595.87	Facility		$1,412.54	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $2,630.27	Professional		$467.74	$602.56	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $3,715.35	Facility		$549.54	$691.83	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,162.28	Professional		$1,071.52	$1,380.38	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,630.27	Professional		$1,737.80	$1,862.09	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,630.27 / $3,715.35	Facility		$691.83	$2,630.27	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $457.09 / $1,621.81	Professional		$60.26	$457.09	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $3,019.95	Professional		$758.58	$1,288.25	$3,019.95