Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.31 / $10,175.36 / $13,413.92	Facility		$1,014.31	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.41 / $425.37 / $1,647.63	Professional		$344.41	$425.37	$1,647.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.04 / $1,085.04 / $1,085.04	Professional		$1,085.04	$1,085.04	$1,085.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.53 / $1,496.12 / $2,139.44	Facility		$389.53	$1,496.12	$2,139.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $756.10 / $1,963.50 / $2,562.04	Professional		$756.10	$1,963.50	$2,562.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,168.75 / $1,355.75 / $2,141.10	Professional		$1,168.75	$1,355.75	$2,141.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.53 / $1,496.12 / $2,139.44	Facility		$389.53	$1,496.12	$2,139.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.65 / $1,374.00 / $2,142.00	Professional		$424.65	$1,374.00	$2,142.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.05 / $1,302.06 / $1,984.07	Professional		$799.05	$1,302.06	$1,984.07