Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,081.57 / $9,577.00 / $14,552.94	Facility		$2,081.57	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.87 / $832.48 / $3,998.06	Professional		$488.87	$832.48	$3,998.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.82 / $913.82 / $2,358.92	Professional		$913.82	$913.82	$2,358.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $720.94 / $888.66 / $5,717.23	Facility		$720.94	$888.66	$5,717.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.33 / $1,970.35 / $3,837.75	Professional		$1,431.33	$1,970.35	$3,837.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,123.75 / $2,790.15 / $3,836.25	Professional		$2,123.75	$2,790.15	$3,836.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.78 / $1,096.13 / $5,717.23	Facility		$870.78	$1,096.13	$5,717.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.03 / $2,790.15 / $3,895.93	Professional		$807.03	$2,790.15	$3,895.93
United Facility/Professional Professional Modifier Low / Median / High Price $860.10 / $1,887.14 / $5,714.56	Professional		$860.10	$1,887.14	$5,714.56