Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $14,552.94	Facility		$1,872.00	$7,340.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.68 / $3,443.76 / $4,113.33	Professional		$711.68	$3,443.76	$4,113.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.54 / $1,467.77 / $2,769.31	Professional		$1,223.54	$1,467.77	$2,769.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,443.76 / $4,821.26 / $5,758.66	Facility		$3,443.76	$4,821.26	$5,758.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,753.18 / $2,103.81 / $2,538.54	Professional		$1,753.18	$2,103.81	$2,538.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,731.56 / $3,030.86 / $3,687.00	Professional		$1,731.56	$3,030.86	$3,687.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,443.76 / $4,821.26 / $5,758.66	Facility		$3,443.76	$4,821.26	$5,758.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,223.54 / $2,566.25 / $4,691.10	Professional		$1,223.54	$2,566.25	$4,691.10
United Facility/Professional Professional Modifier Low / Median / High Price $943.92 / $2,215.46 / $3,342.25	Professional		$943.92	$2,215.46	$3,342.25