Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $14,125.38	Facility		$1,698.24	$2,570.40	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $524.81 / $1,258.93	Professional		$194.98	$524.81	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $602.56 / $1,905.46	Professional		$208.93	$602.56	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $630.96 / $1,659.59	Facility		$234.42	$630.96	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,202.26 / $3,467.37	Professional		$446.68	$1,202.26	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,288.25 / $3,715.35	Professional		$616.60	$1,288.25	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $1,659.59	Facility		$269.15	$537.03	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $645.65 / $1,905.46	Professional		$194.98	$645.65	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $645.65 / $2,089.30	Professional		$208.93	$645.65	$2,089.30