Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.14 / $9,577.00 / $14,552.94	Facility		$1,490.14	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,916.00 / $2,011.77 / $2,514.19	Professional		$1,916.00	$2,011.77	$2,514.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.10 / $868.69 / $1,597.93	Professional		$658.10	$868.69	$1,597.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,916.00 / $2,682.40 / $3,519.87	Facility		$1,916.00	$2,682.40	$3,519.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $996.28 / $1,195.53 / $1,592.43	Professional		$996.28	$1,195.53	$1,592.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.10 / $1,722.34 / $2,294.12	Professional		$982.10	$1,722.34	$2,294.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,916.00 / $2,682.40 / $3,519.87	Facility		$1,916.00	$2,682.40	$3,519.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.70 / $1,424.80 / $2,608.48	Professional		$689.70	$1,424.80	$2,608.48
United Facility/Professional Professional Modifier Low / Median / High Price $551.38 / $1,278.33 / $1,928.51	Professional		$551.38	$1,278.33	$1,928.51