Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.02 / $10,175.36 / $13,413.92	Facility		$2,616.02	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.39 / $967.76 / $4,413.82	Professional		$686.39	$967.76	$4,413.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.69 / $1,620.44 / $2,982.91	Professional		$1,340.69	$1,620.44	$2,982.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,708.55 / $5,191.97 / $6,179.35	Facility		$3,708.55	$5,191.97	$6,179.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,864.78 / $2,237.73 / $2,715.18	Professional		$1,864.78	$2,237.73	$2,715.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,838.62 / $3,223.79 / $4,012.50	Professional		$1,838.62	$3,223.79	$4,012.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,708.55 / $5,191.97 / $6,179.35	Facility		$3,708.55	$5,191.97	$6,179.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,340.69 / $2,701.23 / $5,116.12	Professional		$1,340.69	$2,701.23	$5,116.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.05 / $2,386.32 / $3,600.01	Professional		$1,002.05	$2,386.32	$3,600.01