Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,079.46 / $14,125.38	Facility		$1,949.84	$7,079.46	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,513.56	Professional		$446.68	$588.84	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,187.76	Professional		$1,230.27	$1,621.81	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,202.26 / $3,630.78	Facility		$457.09	$1,202.26	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,479.11 / $2,691.53	Professional		$794.33	$1,479.11	$2,691.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,884.03	Professional		$1,584.89	$2,089.30	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $2,570.40	Facility		$457.09	$707.95	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $691.83 / $1,621.81	Professional		$60.26	$691.83	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,318.26 / $3,235.94	Professional		$562.34	$1,318.26	$3,235.94