Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,564.03 / $6,564.03 / $6,564.03	Professional		$6,564.03	$6,564.03	$6,564.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $248.35	Professional		$248.35	$248.35	$248.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,637.90 / $3,010.88 / $4,937.01	Facility		$1,637.90	$3,010.88	$4,937.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $507.99 / $595.58 / $595.58	Professional		$507.99	$595.58	$595.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $5,050.20 / $13,383.03	Professional		$498.05	$5,050.20	$13,383.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,723.21 / $3,010.88 / $4,937.01	Facility		$1,723.21	$3,010.88	$4,937.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $483.90 / $734.69	Professional		$248.35	$483.90	$734.69
United Facility/Professional Professional Modifier Low / Median / High Price $312.77 / $599.48 / $1,094.71	Professional		$312.77	$599.48	$1,094.71