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 $430.02 / $507.59 / $2,303.82	Professional		$430.02	$507.59	$2,303.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.57 / $1,537.45 / $2,013.56	Professional		$1,142.57	$1,537.45	$2,013.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.53 / $2,303.82 / $3,225.35	Facility		$443.53	$2,303.82	$3,225.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.34 / $1,382.82 / $2,807.25	Professional		$1,152.34	$1,382.82	$2,807.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,666.25 / $2,289.32 / $2,858.00	Professional		$1,666.25	$2,289.32	$2,858.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.53 / $2,303.82 / $3,225.35	Facility		$443.53	$2,303.82	$3,225.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.45 / $2,262.69 / $2,941.40	Professional		$709.45	$2,262.69	$2,941.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,229.96 / $2,152.42 / $2,705.91	Professional		$1,229.96	$2,152.42	$2,705.91