Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,307.48 / $3,307.48 / $3,307.48	Professional		$3,307.48	$3,307.48	$3,307.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,503.13 / $1,503.13 / $1,503.13	Professional		$1,503.13	$1,503.13	$1,503.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.71 / $1,447.68 / $2,061.15	Facility		$1,162.71	$1,447.68	$2,061.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.10 / $301.10 / $301.10	Professional		$301.10	$301.10	$301.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.73 / $2,210.16 / $3,311.80	Professional		$261.73	$2,210.16	$3,311.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.71 / $1,447.68 / $2,061.15	Facility		$1,162.71	$1,447.68	$2,061.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,503.13 / $1,503.13 / $1,503.13	Professional		$1,503.13	$1,503.13	$1,503.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,239.50 / $2,375.69 / $4,997.47	Professional		$1,239.50	$2,375.69	$4,997.47