Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.50 / $10,175.36 / $13,413.92	Facility		$1,513.50	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.48 / $543.60 / $2,766.99	Professional		$339.48	$543.60	$2,766.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.46 / $712.58 / $1,661.77	Professional		$391.46	$712.58	$1,661.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $377.91 / $1,845.00 / $3,873.79	Facility		$377.91	$1,845.00	$3,873.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $917.51 / $1,706.19 / $3,408.30	Professional		$917.51	$1,706.19	$3,408.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.80 / $1,943.46 / $2,970.09	Professional		$1,044.80	$1,943.46	$2,970.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.75 / $1,845.00 / $3,873.79	Facility		$426.75	$1,845.00	$3,873.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $555.19 / $1,503.00 / $2,861.25	Professional		$555.19	$1,503.00	$2,861.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.16 / $1,326.84 / $3,659.88	Professional		$1,191.16	$1,326.84	$3,659.88