Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.75 / $2,791.91 / $2,791.91	Professional		$536.75	$2,791.91	$2,791.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.66 / $1,865.24 / $2,492.15	Professional		$1,401.66	$1,865.24	$2,492.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.78 / $2,791.91 / $3,908.67	Facility		$549.78	$2,791.91	$3,908.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.38 / $1,722.45 / $3,496.75	Professional		$1,435.38	$1,722.45	$3,496.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,053.75 / $2,844.88 / $3,518.00	Professional		$2,053.75	$2,844.88	$3,518.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.78 / $2,791.91 / $3,908.67	Facility		$549.78	$2,791.91	$3,908.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $854.48 / $2,811.80 / $3,621.20	Professional		$854.48	$2,811.80	$3,621.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,492.20 / $2,251.14 / $3,282.84	Professional		$1,492.20	$2,251.14	$3,282.84