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 $376.26 / $440.18 / $2,055.04	Professional		$376.26	$440.18	$2,055.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.56 / $1,398.19 / $1,805.32	Professional		$1,035.56	$1,398.19	$1,805.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.64 / $2,055.04 / $2,877.06	Facility		$403.64	$2,055.04	$2,877.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.25 / $1,261.50 / $2,561.00	Professional		$1,051.25	$1,261.50	$2,561.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,525.00 / $2,101.84 / $2,560.00	Professional		$1,525.00	$2,101.84	$2,560.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.64 / $2,055.04 / $2,877.06	Facility		$403.64	$2,055.04	$2,877.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $633.94 / $2,074.05 / $2,697.20	Professional		$633.94	$2,074.05	$2,697.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.54 / $2,237.08 / $2,460.79	Professional		$1,118.54	$2,237.08	$2,460.79