Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.88 / $2,062.26 / $2,433.14	Professional		$1,947.88	$2,062.26	$2,433.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.42 / $1,249.42 / $1,249.42	Professional		$1,249.42	$1,249.42	$1,249.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.92 / $2,062.26 / $2,949.03	Facility		$453.92	$2,062.26	$2,949.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $914.60 / $2,375.10 / $2,975.25	Professional		$914.60	$2,375.10	$2,975.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,413.75 / $1,639.95 / $2,526.59	Professional		$1,413.75	$1,639.95	$2,526.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.92 / $2,062.26 / $2,949.03	Facility		$453.92	$2,062.26	$2,949.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.72 / $1,636.50 / $2,610.00	Professional		$376.72	$1,636.50	$2,610.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.54 / $1,035.38 / $2,381.37	Professional		$999.54	$1,035.38	$2,381.37