Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $446.09 / $2,327.80	Professional		$379.91	$446.09	$2,327.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.60 / $1,428.42 / $1,918.45	Professional		$1,073.60	$1,428.42	$1,918.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.92 / $2,138.98 / $2,994.59	Facility		$423.92	$2,138.98	$2,994.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.68 / $1,330.41 / $2,700.87	Professional		$1,108.68	$1,330.41	$2,700.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,583.75 / $2,184.40 / $2,714.00	Professional		$1,583.75	$2,184.40	$2,714.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.92 / $2,138.98 / $2,994.59	Facility		$423.92	$2,138.98	$2,994.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $656.64 / $2,159.00 / $2,787.40	Professional		$656.64	$2,159.00	$2,787.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,140.38 / $1,958.58 / $2,514.03	Professional		$1,140.38	$1,958.58	$2,514.03