Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.39 / $779.17 / $3,754.00	Professional		$666.39	$779.17	$3,754.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,889.51 / $2,522.42 / $3,314.78	Professional		$1,889.51	$2,522.42	$3,314.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.74 / $3,754.00 / $5,255.60	Facility		$732.74	$3,754.00	$5,255.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.45 / $2,290.14 / $4,649.20	Professional		$1,908.45	$2,290.14	$4,649.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,766.25 / $3,806.36 / $4,674.00	Professional		$2,766.25	$3,806.36	$4,674.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.74 / $3,754.00 / $5,255.60	Facility		$732.74	$3,754.00	$5,255.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.03 / $3,762.10 / $4,870.80	Professional		$1,148.03	$3,762.10	$4,870.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,017.94 / $3,458.61 / $4,439.47	Professional		$2,017.94	$3,458.61	$4,439.47