Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.58 / $9,577.00 / $14,552.94	Facility		$1,086.58	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.35 / $1,842.89 / $2,009.36	Professional		$358.35	$1,842.89	$2,009.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.83 / $1,115.45 / $1,850.26	Professional		$915.83	$1,115.45	$1,850.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.31 / $1,842.89 / $2,813.10	Facility		$369.31	$1,842.89	$2,813.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $974.45 / $1,282.85 / $2,577.90	Professional		$974.45	$1,282.85	$2,577.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.80 / $1,892.00 / $2,384.00	Professional		$1,294.80	$1,892.00	$2,384.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.56 / $1,842.89 / $2,813.10	Facility		$392.56	$1,842.89	$2,813.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.96 / $1,721.37 / $2,303.69	Professional		$745.96	$1,721.37	$2,303.69
United Facility/Professional Professional Modifier Low / Median / High Price $541.49 / $1,471.61 / $2,146.06	Professional		$541.49	$1,471.61	$2,146.06