Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,788.87 / $5,328.00 / $10,900.00	Facility		$1,788.87	$5,328.00	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $1,431.10 / $2,051.07	Professional		$254.12	$1,431.10	$2,051.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.25 / $1,055.72 / $1,868.09	Professional		$716.25	$1,055.72	$1,868.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.49 / $1,431.10 / $2,871.50	Facility		$329.49	$1,431.10	$2,871.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $715.68 / $1,262.49 / $2,536.94	Professional		$715.68	$1,262.49	$2,536.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,106.25 / $1,656.20 / $2,548.00	Professional		$1,106.25	$1,656.20	$2,548.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.22 / $1,574.21 / $2,871.50	Facility		$367.22	$1,574.21	$2,871.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.50 / $1,592.50 / $2,484.30	Professional		$622.50	$1,592.50	$2,484.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.98 / $1,972.22 / $2,479.36	Professional		$1,126.98	$1,972.22	$2,479.36