Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $12,022.64 / $16,595.87	Facility		$2,290.87	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,290.87	Professional		$691.83	$977.24	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,311.31	Professional		$1,905.46	$2,511.89	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $5,248.07	Facility		$691.83	$1,148.15	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $3,981.07	Professional		$1,819.70	$2,630.27	$3,981.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,466.84	Professional		$2,454.71	$3,235.94	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $4,168.69	Facility		$724.44	$1,148.15	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,047.13 / $2,511.89	Professional		$60.26	$1,047.13	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $3,467.37 / $4,466.84	Professional		$870.96	$3,467.37	$4,466.84