Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.86 / $7,340.00 / $13,413.92	Facility		$1,165.86	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $1,396.12 / $1,977.34	Professional		$257.08	$1,396.12	$1,977.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.19 / $1,019.65 / $1,787.41	Professional		$700.19	$1,019.65	$1,787.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.31 / $1,396.12 / $2,768.28	Facility		$350.31	$1,396.12	$2,768.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $688.98 / $1,206.21 / $2,423.85	Professional		$688.98	$1,206.21	$2,423.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.20 / $1,592.50 / $2,450.00	Professional		$1,045.20	$1,592.50	$2,450.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $1,535.73 / $2,768.28	Facility		$354.55	$1,535.73	$2,768.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $603.00 / $1,531.25 / $2,392.65	Professional		$603.00	$1,531.25	$2,392.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.70 / $1,097.70 / $2,403.94	Professional		$1,092.70	$1,097.70	$2,403.94