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 $393.83 / $782.49 / $2,247.71	Professional		$393.83	$782.49	$2,247.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,128.92 / $1,530.72 / $1,933.32	Professional		$1,128.92	$1,530.72	$1,933.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $427.58 / $2,247.71 / $3,146.81	Facility		$427.58	$2,247.71	$3,146.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.88 / $1,329.45 / $2,698.90	Professional		$1,107.88	$1,329.45	$2,698.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,635.00 / $2,248.04 / $2,726.00	Professional		$1,635.00	$2,248.04	$2,726.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.58 / $2,247.71 / $3,146.81	Facility		$427.58	$2,247.71	$3,146.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.28 / $2,217.60 / $2,888.60	Professional		$691.28	$2,217.60	$2,888.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.58 / $2,449.16 / $2,694.08	Professional		$1,224.58	$2,449.16	$2,694.08