Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,788.83 / $1,788.83 / $1,788.83	Facility		$1,788.83	$1,788.83	$1,788.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.59 / $203.35 / $484.29	Professional		$143.59	$203.35	$484.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.15 / $690.15 / $690.15	Professional		$690.15	$690.15	$690.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.29 / $484.29 / $740.96	Facility		$207.29	$484.29	$740.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.82 / $296.82 / $469.09	Professional		$296.82	$296.82	$469.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.75 / $1,026.00 / $1,418.25	Professional		$384.75	$1,026.00	$1,418.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.87 / $484.29 / $740.96	Facility		$184.87	$484.29	$740.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.68 / $726.75 / $1,581.75	Professional		$357.68	$726.75	$1,581.75
United Facility/Professional Professional Modifier Low / Median / High Price $585.55 / $634.90 / $1,269.80	Professional		$585.55	$634.90	$1,269.80