Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $10,964.78 / $16,595.87	Facility		$1,412.54	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $1,412.54	Professional		$446.68	$562.34	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,548.82	Professional		$467.74	$676.08	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $1,778.28	Facility		$478.63	$660.69	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $3,019.95	Professional		$1,096.48	$1,548.82	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $2,691.53	Professional		$1,148.15	$1,995.26	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $1,778.28	Facility		$489.78	$758.58	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $724.44 / $1,548.82	Professional		$60.26	$724.44	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,230.27 / $2,951.21	Professional		$446.68	$1,230.27	$2,951.21