Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $10,964.78 / $16,595.87	Facility		$2,630.27	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,630.27	Professional		$812.83	$1,122.02	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,801.89	Professional		$2,137.96	$2,884.03	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,412.54 / $6,025.60	Facility		$794.33	$1,412.54	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $4,570.88	Professional		$2,041.74	$3,019.95	$4,570.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $5,011.87	Professional		$2,818.38	$3,630.78	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,380.38 / $4,677.35	Facility		$812.83	$1,380.38	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,202.26 / $2,884.03	Professional		$60.26	$1,202.26	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,467.37 / $5,128.61	Professional		$1,000.00	$3,467.37	$5,128.61