Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.41 / $5,084.91 / $13,413.92	Facility		$286.41	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.57 / $3,364.81 / $4,000.57	Professional		$672.57	$3,364.81	$4,000.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.23 / $2,168.71 / $3,765.01	Professional		$1,714.23	$2,168.71	$3,765.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $649.79 / $3,364.81 / $5,600.80	Facility		$649.79	$3,364.81	$5,600.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.38 / $2,477.42 / $4,978.35	Professional		$1,714.38	$2,477.42	$4,978.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,594.90 / $3,732.30 / $4,670.00	Professional		$2,594.90	$3,732.30	$4,670.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $779.63 / $3,400.48 / $5,600.80	Facility		$779.63	$3,400.48	$5,600.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,435.50 / $3,540.90 / $4,796.39	Professional		$1,435.50	$3,540.90	$4,796.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,051.30 / $4,102.60 / $4,512.85	Professional		$2,051.30	$4,102.60	$4,512.85