Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.24 / $457.67 / $2,196.44	Professional		$416.24	$457.67	$2,196.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.63 / $627.99 / $1,368.65	Professional		$410.63	$627.99	$1,368.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.79 / $2,196.44 / $3,075.03	Facility		$421.79	$2,196.44	$3,075.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.40 / $1,524.09 / $2,810.12	Professional		$1,046.40	$1,524.09	$2,810.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.20 / $1,902.00 / $3,120.00	Professional		$1,069.20	$1,902.00	$3,120.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.79 / $2,196.44 / $3,075.03	Facility		$421.79	$2,196.44	$3,075.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.82 / $1,502.50 / $2,640.00	Professional		$511.82	$1,502.50	$2,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.94 / $1,094.92 / $3,020.16	Professional		$552.94	$1,094.92	$3,020.16