Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $10,000.00 / $20,417.38	Facility		$2,137.96	$10,000.00	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $3,388.44	Professional		$776.25	$870.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $4,786.30	Facility		$812.83	$1,047.13	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,897.79	Professional		$1,698.24	$2,187.76	$4,897.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,073.80	Professional		$3,019.95	$3,019.95	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,388.44 / $4,897.79	Facility		$1,047.13	$3,388.44	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $660.69 / $2,290.87	Professional		$60.26	$660.69	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $3,981.07	Professional		$1,737.80	$1,819.70	$3,981.07