Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.78 / $7,340.00 / $13,413.92	Facility		$1,641.78	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,198.98 / $2,406.04 / $2,770.06	Professional		$2,198.98	$2,406.04	$2,770.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.84 / $966.08 / $1,844.40	Professional		$764.84	$966.08	$1,844.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,198.98 / $3,078.59 / $3,878.08	Facility		$2,198.98	$3,078.59	$3,878.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.08 / $1,353.69 / $1,713.72	Professional		$1,128.08	$1,353.69	$1,713.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.29 / $1,950.21 / $2,468.87	Professional		$1,109.29	$1,950.21	$2,468.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,198.98 / $3,078.59 / $3,878.08	Facility		$2,198.98	$3,078.59	$3,878.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $766.65 / $1,656.20 / $2,954.45	Professional		$766.65	$1,656.20	$2,954.45
United Facility/Professional Professional Modifier Low / Median / High Price $637.25 / $1,475.52 / $2,225.98	Professional		$637.25	$1,475.52	$2,225.98