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 $285.41 / $1,039.80 / $1,763.54	Professional		$285.41	$1,039.80	$1,763.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.69 / $1,195.22 / $1,543.59	Professional		$890.69	$1,195.22	$1,543.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.47 / $1,763.54 / $2,468.96	Facility		$342.47	$1,763.54	$2,468.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $889.53 / $1,067.43 / $2,167.00	Professional		$889.53	$1,067.43	$2,167.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.50 / $1,795.68 / $2,184.00	Professional		$1,307.50	$1,795.68	$2,184.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.47 / $1,763.54 / $2,468.96	Facility		$342.47	$1,763.54	$2,468.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $539.51 / $1,774.80 / $2,310.00	Professional		$539.51	$1,774.80	$2,310.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.82 / $3,200.82 / $3,200.82	Facility		$3,200.82	$3,200.82	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $956.18 / $1,673.32 / $2,103.60	Professional		$956.18	$1,673.32	$2,103.60