Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.33 / $7,340.00 / $13,413.92	Facility		$1,485.33	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.28 / $562.53 / $2,715.46	Professional		$353.28	$562.53	$2,715.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.06 / $712.20 / $1,621.21	Professional		$402.06	$712.20	$1,621.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.17 / $1,822.87 / $3,801.64	Facility		$420.17	$1,822.87	$3,801.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $903.37 / $1,672.55 / $3,341.10	Professional		$903.37	$1,672.55	$3,341.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.52 / $1,919.67 / $2,865.55	Professional		$1,051.52	$1,919.67	$2,865.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.17 / $1,822.87 / $3,801.64	Facility		$420.17	$1,822.87	$3,801.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.75 / $1,474.00 / $2,730.16	Professional		$548.75	$1,474.00	$2,730.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,175.42 / $1,340.00 / $3,460.17	Professional		$1,175.42	$1,340.00	$3,460.17