Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $12,022.64 / $16,595.87	Facility		$794.33	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $4,570.88	Professional		$891.25	$1,258.93	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,348.96 / $6,456.54	Facility		$323.59	$1,348.96	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,023.29 / $4,570.88	Professional		$60.26	$1,023.29	$4,570.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,311.31 / $5,248.07	Professional		$3,235.94	$3,311.31	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,570.88 / $6,606.93	Facility		$1,348.96	$4,570.88	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $954.99 / $3,090.30	Professional		$60.26	$954.99	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,047.13 / $1,621.81	Professional		$512.86	$1,047.13	$1,621.81