Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,223.83 / $10,175.36 / $13,413.92	Facility		$2,223.83	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $814.47 / $3,752.09	Professional		$578.48	$814.47	$3,752.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.33 / $1,383.87 / $2,570.33	Professional		$1,153.33	$1,383.87	$2,570.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,169.60 / $4,437.43 / $5,252.93	Facility		$3,169.60	$4,437.43	$5,252.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.40 / $1,904.88 / $2,294.96	Professional		$1,587.40	$1,904.88	$2,294.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,563.31 / $2,744.27 / $3,429.25	Professional		$1,563.31	$2,744.27	$3,429.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,169.60 / $4,437.43 / $5,252.93	Facility		$3,169.60	$4,437.43	$5,252.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.68 / $2,314.19 / $4,398.63	Professional		$1,148.68	$2,314.19	$4,398.63
United Facility/Professional Professional Modifier Low / Median / High Price $864.50 / $2,056.26 / $3,102.08	Professional		$864.50	$2,056.26	$3,102.08