Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $14,552.94	Facility		$2,464.00	$6,782.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $493.35 / $2,670.02	Professional		$420.77	$493.35	$2,670.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,630.24 / $1,630.24 / $1,630.24	Professional		$1,630.24	$1,630.24	$1,630.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $669.31 / $2,670.02 / $3,818.13	Facility		$669.31	$2,670.02	$3,818.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,366.65 / $3,549.00 / $4,360.27	Professional		$1,366.65	$3,549.00	$4,360.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,112.50 / $2,450.50 / $3,132.80	Professional		$2,112.50	$2,450.50	$3,132.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.31 / $2,670.02 / $3,818.13	Facility		$669.31	$2,670.02	$3,818.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $677.83 / $2,164.50 / $3,182.21	Professional		$677.83	$2,164.50	$3,182.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.64 / $1,967.52 / $3,260.50	Professional		$1,290.64	$1,967.52	$3,260.50