Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.45 / $7,340.00 / $13,413.92	Facility		$1,273.45	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $482.96 / $2,328.11	Professional		$331.98	$482.96	$2,328.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.42 / $629.97 / $1,409.13	Professional		$407.42	$629.97	$1,409.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.55 / $1,740.27 / $3,259.35	Facility		$399.55	$1,740.27	$3,259.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $859.03 / $1,438.38 / $2,830.80	Professional		$859.03	$1,438.38	$2,830.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.95 / $1,803.60 / $2,680.00	Professional		$1,048.95	$1,803.60	$2,680.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.55 / $1,740.27 / $3,259.35	Facility		$399.55	$1,740.27	$3,259.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $530.97 / $1,459.50 / $2,672.00	Professional		$530.97	$1,459.50	$2,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $1,178.76 / $3,251.42	Professional		$597.41	$1,178.76	$3,251.42