Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,999.52 / $5,999.52 / $5,999.52	Facility		$5,999.52	$5,999.52	$5,999.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.16 / $877.05 / $1,714.15	Professional		$819.16	$877.05	$1,714.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.34 / $1,137.82 / $2,578.11	Professional		$769.34	$1,137.82	$2,578.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $786.24 / $1,714.15 / $4,971.04	Facility		$786.24	$1,714.15	$4,971.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $688.28 / $688.28 / $983.25	Professional		$688.28	$688.28	$983.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,661.84 / $3,150.00 / $4,334.39	Professional		$1,661.84	$3,150.00	$4,334.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $762.16 / $1,714.15 / $4,971.04	Facility		$762.16	$1,714.15	$4,971.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $983.25 / $2,599.38 / $4,414.88	Professional		$983.25	$2,599.38	$4,414.88
United Facility/Professional Professional Modifier Low / Median / High Price $490.95 / $947.36 / $2,627.12	Professional		$490.95	$947.36	$2,627.12