Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,923.34 / $9,285.00 / $13,413.92	Facility		$2,923.34	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $739.61 / $2,844.61	Professional		$368.44	$739.61	$2,844.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.24 / $1,370.81 / $1,796.77	Professional		$1,023.24	$1,370.81	$1,796.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.78 / $2,031.87 / $2,844.62	Facility		$399.78	$2,031.87	$2,844.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.75 / $1,248.90 / $2,535.39	Professional		$1,040.75	$1,248.90	$2,535.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,507.50 / $2,082.92 / $2,548.00	Professional		$1,507.50	$2,082.92	$2,548.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.78 / $2,031.87 / $2,844.62	Facility		$399.78	$2,031.87	$2,844.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.08 / $2,058.69 / $2,655.40	Professional		$622.08	$2,058.69	$2,655.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,094.80 / $1,919.12 / $2,412.61	Professional		$1,094.80	$1,919.12	$2,412.61