Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $12,022.64 / $16,595.87	Facility		$1,230.27	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $2,290.87	Professional		$398.11	$512.86	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $3,162.28	Facility		$478.63	$602.56	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,754.23	Professional		$933.25	$1,174.90	$2,754.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $2,290.87	Professional		$1,513.56	$1,621.81	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,290.87 / $3,235.94	Facility		$602.56	$2,290.87	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $389.05 / $1,412.54	Professional		$60.26	$389.05	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $2,630.27	Professional		$588.84	$1,122.02	$2,630.27