Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,886.00 / $17,695.00	Facility		$2,236.00	$9,886.00	$17,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,614.99 / $3,738.19 / $5,398.72	Professional		$1,614.99	$3,738.19	$5,398.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.63 / $1,095.63 / $3,037.38	Professional		$1,095.63	$1,095.63	$3,037.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.77 / $2,260.98 / $5,650.85	Facility		$407.77	$2,260.98	$5,650.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $936.42 / $2,233.98 / $5,465.68	Professional		$936.42	$2,233.98	$5,465.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.75 / $2,044.91 / $5,785.65	Professional		$1,275.75	$2,044.91	$5,785.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.77 / $2,260.98 / $5,650.85	Facility		$407.77	$2,260.98	$5,650.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.30 / $1,899.94 / $5,934.00	Professional		$699.30	$1,899.94	$5,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,266.54 / $3,665.76 / $6,074.75	Professional		$2,266.54	$3,665.76	$6,074.75