Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $1,122.02	Professional		$371.54	$501.19	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,698.24	Professional		$467.74	$724.44	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $1,174.90	Facility		$467.74	$691.83	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,388.44	Professional		$1,202.26	$1,659.59	$3,388.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,995.26 / $2,454.71	Professional		$1,000.00	$1,995.26	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $741.31 / $1,174.90	Facility		$467.74	$741.31	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $588.84 / $1,698.24	Professional		$60.26	$588.84	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,202.26 / $2,884.03	Professional		$398.11	$1,202.26	$2,884.03