Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,441.86 / $10,175.36 / $13,413.92	Facility		$2,441.86	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.54 / $890.30 / $4,119.97	Professional		$631.54	$890.30	$4,119.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.56 / $1,496.12 / $2,768.32	Professional		$1,237.56	$1,496.12	$2,768.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,427.57 / $4,798.60 / $5,767.97	Facility		$3,427.57	$4,798.60	$5,767.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.00 / $2,084.40 / $2,553.12	Professional		$1,737.00	$2,084.40	$2,553.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,712.24 / $3,002.90 / $3,718.50	Professional		$1,712.24	$3,002.90	$3,718.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,427.57 / $4,798.60 / $5,767.97	Facility		$3,427.57	$4,798.60	$5,767.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,237.56 / $2,545.62 / $4,720.81	Professional		$1,237.56	$2,545.62	$4,720.81
United Facility/Professional Professional Modifier Low / Median / High Price $935.94 / $2,214.66 / $3,341.05	Professional		$935.94	$2,214.66	$3,341.05