Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.26 / $1,733.33 / $1,733.33	Professional		$345.26	$1,733.33	$1,733.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.13 / $1,057.96 / $1,628.83	Professional		$846.13	$1,057.96	$1,628.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $345.26 / $1,733.33 / $2,426.66	Facility		$345.26	$1,733.33	$2,426.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $924.07 / $1,111.10 / $2,255.65	Professional		$924.07	$1,111.10	$2,255.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.25 / $1,661.10 / $2,099.88	Professional		$1,156.25	$1,661.10	$2,099.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.05 / $1,733.33 / $2,426.66	Facility		$350.05	$1,733.33	$2,426.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.79 / $1,603.00 / $2,102.19	Professional		$528.79	$1,603.00	$2,102.19
United Facility/Professional Facility Modifier Low / Median / High Price $14,287.46 / $14,287.46 / $14,287.46	Facility		$14,287.46	$14,287.46	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $846.36 / $1,450.60 / $1,861.99	Professional		$846.36	$1,450.60	$1,861.99