Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $736.95 / $2,034.74	Professional		$367.18	$736.95	$2,034.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.47 / $1,374.84 / $1,799.68	Professional		$1,025.47	$1,374.84	$1,799.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.08 / $2,034.74 / $2,848.64	Facility		$400.08	$2,034.74	$2,848.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.55 / $1,249.85 / $2,537.36	Professional		$1,041.55	$1,249.85	$2,537.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,511.25 / $2,089.80 / $2,552.00	Professional		$1,511.25	$2,089.80	$2,552.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.08 / $2,034.74 / $2,848.64	Facility		$400.08	$2,034.74	$2,848.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.94 / $2,065.50 / $2,664.20	Professional		$622.94	$2,065.50	$2,664.20
United Facility/Professional Professional Modifier Low / Median / High Price $600.63 / $1,659.28 / $2,419.73	Professional		$600.63	$1,659.28	$2,419.73