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 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.12 / $755.18 / $3,180.97	Professional		$330.12	$755.18	$3,180.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.62 / $1,141.69 / $2,090.58	Professional		$647.62	$1,141.69	$2,090.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,780.42 / $2,546.00 / $4,453.35	Facility		$1,780.42	$2,546.00	$4,453.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $857.18 / $1,028.60 / $1,983.48	Professional		$857.18	$1,028.60	$1,983.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.20 / $1,537.00 / $2,857.51	Professional		$875.20	$1,537.00	$2,857.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,780.42 / $2,546.00 / $4,453.35	Facility		$1,780.42	$2,546.00	$4,453.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $651.09 / $1,503.20 / $2,826.00	Professional		$651.09	$1,503.20	$2,826.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.92 / $1,672.46 / $2,523.08	Professional		$715.92	$1,672.46	$2,523.08