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 $645.65 / $977.24 / $2,290.87	Professional		$645.65	$977.24	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,467.37	Professional		$1,905.46	$2,454.71	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,258.93 / $5,370.32	Facility		$741.31	$1,258.93	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $4,168.69	Professional		$1,949.84	$2,754.23	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $4,466.84	Professional		$2,454.71	$3,311.31	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $4,168.69	Facility		$758.58	$1,230.27	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,023.29 / $2,454.71	Professional		$60.26	$1,023.29	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $3,311.31 / $4,265.80	Professional		$831.76	$3,311.31	$4,265.80