Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $10,964.78 / $16,595.87	Facility		$1,949.84	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $3,630.78	Professional		$691.83	$870.96	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $5,011.87	Facility		$776.25	$933.25	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $4,365.16	Professional		$1,584.89	$2,041.74	$4,365.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $3,630.78	Professional		$2,511.89	$2,691.53	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,630.78 / $5,128.61	Facility		$933.25	$3,630.78	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $630.96 / $2,137.96	Professional		$60.26	$630.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,290.87 / $3,890.45	Professional		$776.25	$2,290.87	$3,890.45