Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $20,417.38	Facility		$1,995.26	$10,000.00	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,995.26	Professional		$616.60	$851.14	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,951.21	Professional		$1,659.59	$2,238.72	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,071.52 / $4,570.88	Facility		$616.60	$1,071.52	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,715.35	Professional		$1,621.81	$2,344.23	$3,715.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,890.45	Professional		$2,137.96	$2,818.38	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $3,630.78	Facility		$630.96	$1,047.13	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $933.25 / $2,238.72	Professional		$60.26	$933.25	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,019.95 / $3,890.45	Professional		$776.25	$3,019.95	$3,890.45