Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.83 / $1,189.03 / $2,016.63	Professional		$369.83	$1,189.03	$2,016.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,017.89 / $1,347.14 / $1,803.57	Professional		$1,017.89	$1,347.14	$1,803.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.28 / $2,016.63 / $2,823.28	Facility		$399.28	$2,016.63	$2,823.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.18 / $1,251.81 / $2,541.30	Professional		$1,043.18	$1,251.81	$2,541.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,485.00 / $2,058.84 / $2,604.00	Professional		$1,485.00	$2,058.84	$2,604.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.28 / $2,016.63 / $2,823.28	Facility		$399.28	$2,016.63	$2,823.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $628.80 / $2,034.90 / $2,604.80	Professional		$628.80	$2,034.90	$2,604.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.70 / $1,885.98 / $2,370.94	Professional		$1,077.70	$1,885.98	$2,370.94