Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $10,715.19 / $17,782.79	Facility		$1,174.90	$10,715.19	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $2,187.76	Professional		$380.19	$501.19	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $3,090.30	Facility		$457.09	$602.56	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,691.53	Professional		$891.25	$1,148.15	$2,691.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $2,238.72	Professional		$1,479.11	$1,548.82	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,187.76 / $3,162.28	Facility		$602.56	$2,187.76	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $389.05 / $1,380.38	Professional		$60.26	$389.05	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,659.59 / $2,570.40	Professional		$851.14	$1,659.59	$2,570.40