Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.33 / $2,164.03 / $2,164.03	Professional		$419.33	$2,164.03	$2,164.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.28 / $1,336.86 / $1,968.61	Professional		$1,076.28	$1,336.86	$1,968.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $419.33 / $2,164.03 / $3,029.64	Facility		$419.33	$2,164.03	$3,029.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.59 / $1,366.32 / $2,773.76	Professional		$1,138.59	$1,366.32	$2,773.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,478.75 / $2,041.60 / $2,611.40	Professional		$1,478.75	$2,041.60	$2,611.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.88 / $2,164.03 / $3,029.64	Facility		$433.88	$2,164.03	$3,029.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $664.54 / $2,029.80 / $2,611.40	Professional		$664.54	$2,029.80	$2,611.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.48 / $1,613.42 / $2,352.86	Professional		$1,069.48	$1,613.42	$2,352.86