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 $357.60 / $1,863.02 / $1,863.02	Professional		$357.60	$1,863.02	$1,863.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.39 / $1,245.13 / $1,679.93	Professional		$930.39	$1,245.13	$1,679.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.12 / $1,863.02 / $2,608.23	Facility		$375.12	$1,863.02	$2,608.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $982.53 / $1,179.03 / $2,393.55	Professional		$982.53	$1,179.03	$2,393.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.50 / $1,916.08 / $2,392.00	Professional		$1,407.50	$1,916.08	$2,392.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.12 / $1,863.02 / $2,608.23	Facility		$375.12	$1,863.02	$2,608.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $574.87 / $1,893.80 / $2,510.19	Professional		$574.87	$1,893.80	$2,510.19
United Facility/Professional Professional Modifier Low / Median / High Price $996.10 / $1,743.18 / $2,191.42	Professional		$996.10	$1,743.18	$2,191.42