Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.39 / $4,913.88 / $11,709.00	Facility		$2,002.39	$4,913.88	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $320.02 / $1,488.66	Professional		$87.09	$320.02	$1,488.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $309.74 / $907.33	Professional		$117.34	$309.74	$907.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.40 / $481.60 / $2,084.12	Facility		$110.40	$481.60	$2,084.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.19 / $703.46 / $1,845.90	Professional		$246.19	$703.46	$1,845.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.50 / $699.30 / $1,930.25	Professional		$322.50	$699.30	$1,930.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.40 / $481.60 / $2,084.12	Facility		$110.40	$481.60	$2,084.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.92 / $536.40 / $1,744.00	Professional		$190.92	$536.40	$1,744.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.07 / $781.86 / $2,083.54	Professional		$394.07	$781.86	$2,083.54