Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.42 / $6,541.00 / $13,413.92	Facility		$1,767.42	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.37 / $621.11 / $2,997.60	Professional		$487.37	$621.11	$2,997.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.28 / $1,836.37 / $2,715.85	Professional		$1,389.28	$1,836.37	$2,715.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.04 / $2,773.72 / $4,196.64	Facility		$578.04	$2,773.72	$4,196.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.85 / $1,885.47 / $3,788.85	Professional		$1,441.85	$1,885.47	$3,788.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,120.30 / $2,980.25 / $3,551.38	Professional		$2,120.30	$2,980.25	$3,551.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.04 / $2,773.72 / $4,196.64	Facility		$578.04	$2,773.72	$4,196.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,194.19 / $2,836.75 / $3,615.30	Professional		$1,194.19	$2,836.75	$3,615.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.82 / $3,200.82 / $3,200.82	Facility		$3,200.82	$3,200.82	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,582.08 / $2,768.64 / $3,480.58	Professional		$1,582.08	$2,768.64	$3,480.58