Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.72 / $10,175.36 / $13,413.92	Facility		$1,025.72	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $519.27 / $2,619.30	Professional		$315.55	$519.27	$2,619.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.66 / $856.53 / $1,589.24	Professional		$611.66	$856.53	$1,589.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,875.22 / $2,625.31 / $3,667.02	Facility		$1,875.22	$2,625.31	$3,667.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $896.80 / $1,270.40 / $1,940.75	Professional		$896.80	$1,270.40	$1,940.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.28 / $1,550.38 / $2,994.30	Professional		$882.28	$1,550.38	$2,994.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,875.22 / $2,625.31 / $3,667.02	Facility		$1,875.22	$2,625.31	$3,667.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $657.20 / $1,370.00 / $2,901.30	Professional		$657.20	$1,370.00	$2,901.30
United Facility/Professional Professional Modifier Low / Median / High Price $627.16 / $1,271.40 / $1,918.04	Professional		$627.16	$1,271.40	$1,918.04