Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,492.63 / $8,836.00 / $11,709.00	Facility		$2,492.63	$8,836.00	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.82 / $1,013.29 / $3,252.30	Professional		$483.82	$1,013.29	$3,252.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.67 / $1,693.60 / $2,964.44	Professional		$1,140.67	$1,693.60	$2,964.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $574.05 / $2,282.15 / $4,553.22	Facility		$574.05	$2,282.15	$4,553.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.83 / $1,999.02 / $4,017.00	Professional		$1,141.83	$1,999.02	$4,017.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,765.00 / $2,752.75 / $4,198.35	Professional		$1,765.00	$2,752.75	$4,198.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $584.25 / $2,510.37 / $4,553.22	Facility		$584.25	$2,510.37	$4,553.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $999.75 / $2,599.35 / $4,198.35	Professional		$999.75	$2,599.35	$4,198.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,826.06 / $3,652.12 / $4,017.33	Professional		$1,826.06	$3,652.12	$4,017.33