Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $10,964.78 / $16,595.87	Facility		$1,380.38	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $2,511.89	Professional		$489.78	$707.95	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,513.56	Professional		$549.54	$549.54	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $549.54 / $2,511.89	Facility		$512.86	$549.54	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,511.89	Professional		$1,000.00	$1,202.26	$2,511.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,511.89	Professional		$1,659.59	$1,862.09	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $575.44 / $3,630.78	Facility		$512.86	$575.44	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $436.52 / $1,513.56	Professional		$60.26	$436.52	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,202.26 / $3,630.78	Professional		$524.81	$1,202.26	$3,630.78