Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,479.11	Facility		$1,445.44	$1,445.44	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $1,737.80	Professional		$34.67	$44.67	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,737.80	Professional		$602.56	$758.58	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $1,445.44 / $4,897.79	Facility		$50.12	$1,445.44	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $1,047.13 / $1,949.84	Professional		$41.69	$1,047.13	$1,949.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,737.80	Professional		$1,348.96	$1,412.54	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $3,311.31 / $5,128.61	Facility		$50.12	$3,311.31	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $776.25 / $1,318.26	Professional		$60.26	$776.25	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $120.23	Professional		$51.29	$72.44	$120.23