Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.20 / $7,340.00 / $13,413.92	Facility		$1,535.20	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.50 / $2,395.67 / $2,603.77	Professional		$462.50	$2,395.67	$2,603.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,193.81 / $1,579.11 / $2,378.69	Professional		$1,193.81	$1,579.11	$2,378.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.78 / $2,395.67 / $3,645.28	Facility		$497.78	$2,395.67	$3,645.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.80 / $1,645.80 / $3,307.20	Professional		$1,251.80	$1,645.80	$3,307.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,825.20 / $2,595.25 / $3,088.80	Professional		$1,825.20	$2,595.25	$3,088.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.88 / $2,395.67 / $3,645.28	Facility		$505.88	$2,395.67	$3,645.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,039.50 / $2,435.79 / $3,168.75	Professional		$1,039.50	$2,435.79	$3,168.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,368.20 / $2,394.35 / $3,010.04	Professional		$1,368.20	$2,394.35	$3,010.04