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 $478.63 / $616.60 / $2,630.27	Professional		$478.63	$616.60	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $3,630.78	Facility		$549.54	$691.83	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,162.28	Professional		$1,096.48	$1,412.54	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,630.27	Professional		$1,778.28	$1,905.46	$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 / $446.68 / $1,584.89	Professional		$60.26	$446.68	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,905.46 / $2,951.21	Professional		$707.95	$1,905.46	$2,951.21