Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.57 / $6,541.00 / $13,413.92	Facility		$1,118.57	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.19 / $1,747.88 / $1,897.13	Professional		$339.19	$1,747.88	$1,897.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.56 / $1,140.27 / $1,751.86	Professional		$866.56	$1,140.27	$1,751.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $353.13 / $1,747.88 / $2,655.98	Facility		$353.13	$1,747.88	$2,655.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $928.35 / $1,219.80 / $2,451.15	Professional		$928.35	$1,219.80	$2,451.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,327.30 / $1,876.00 / $2,266.00	Professional		$1,327.30	$1,876.00	$2,266.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.04 / $1,747.88 / $2,655.98	Facility		$370.04	$1,747.88	$2,655.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.08 / $1,779.20 / $2,322.44	Professional		$752.08	$1,779.20	$2,322.44
United Facility/Professional Professional Modifier Low / Median / High Price $984.04 / $1,722.07 / $2,164.89	Professional		$984.04	$1,722.07	$2,164.89