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 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $549.91 / $2,538.21	Professional		$469.61	$549.91	$2,538.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.54 / $1,705.61 / $2,245.88	Professional		$1,273.54	$1,705.61	$2,245.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $493.21 / $2,538.21 / $3,553.49	Facility		$493.21	$2,538.21	$3,553.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.98 / $1,541.97 / $3,130.33	Professional		$1,284.98	$1,541.97	$3,130.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,876.25 / $2,580.00 / $3,156.00	Professional		$1,876.25	$2,580.00	$3,156.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.21 / $2,538.21 / $3,553.49	Facility		$493.21	$2,538.21	$3,553.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $774.35 / $2,550.00 / $3,306.60	Professional		$774.35	$2,550.00	$3,306.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.48 / $2,387.84 / $3,001.86	Professional		$1,364.48	$2,387.84	$3,001.86