Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $10,715.19 / $14,125.38	Facility		$933.25	$10,715.19	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,380.38 / $1,995.26	Professional		$323.59	$1,380.38	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $3,890.45	Professional		$1,047.13	$1,047.13	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,659.59 / $6,456.54	Facility		$380.19	$1,659.59	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,187.76 / $7,413.10	Professional		$741.31	$2,187.76	$7,413.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $6,456.54	Professional		$1,258.93	$2,137.96	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,398.83 / $8,912.51	Facility		$457.09	$2,398.83	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $426.58 / $3,890.45	Professional		$60.26	$426.58	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,905.46 / $5,011.87	Professional		$831.76	$1,905.46	$5,011.87