Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.68 / $10,900.00 / $14,552.94	Facility		$1,038.68	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,693.00 / $1,693.00 / $2,299.80	Professional		$1,693.00	$1,693.00	$2,299.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,222.66 / $1,222.66 / $1,222.66	Professional		$1,222.66	$1,222.66	$1,222.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.72 / $1,693.00 / $2,420.98	Facility		$435.72	$1,693.00	$2,420.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $799.78 / $2,076.90 / $2,865.72	Professional		$799.78	$2,076.90	$2,865.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,236.25 / $1,434.05 / $2,169.19	Professional		$1,236.25	$1,434.05	$2,169.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.72 / $1,693.00 / $2,420.98	Facility		$435.72	$1,693.00	$2,420.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.40 / $1,476.00 / $2,194.32	Professional		$467.40	$1,476.00	$2,194.32
United Facility/Professional Professional Modifier Low / Median / High Price $848.03 / $978.12 / $2,250.87	Professional		$848.03	$978.12	$2,250.87