Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.72 / $7,340.00 / $13,413.92	Facility		$1,123.72	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.37 / $421.56 / $1,881.11	Professional		$214.37	$421.56	$1,881.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.60 / $797.60 / $1,221.26	Professional		$797.60	$797.60	$1,221.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.77 / $1,703.49 / $2,633.55	Facility		$301.77	$1,703.49	$2,633.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $627.53 / $1,629.60 / $2,584.51	Professional		$627.53	$1,629.60	$2,584.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.59 / $1,521.25 / $2,227.11	Professional		$1,047.59	$1,521.25	$2,227.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.77 / $1,703.49 / $2,633.55	Facility		$301.77	$1,703.49	$2,633.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.15 / $1,298.70 / $2,272.00	Professional		$529.15	$1,298.70	$2,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.76 / $977.00 / $1,473.91	Professional		$956.76	$977.00	$1,473.91