Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $12,022.64 / $16,595.87	Facility		$1,737.80	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $3,235.94	Professional		$588.84	$741.31	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,235.94 / $4,570.88	Facility		$812.83	$3,235.94	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $3,890.45	Professional		$1,258.93	$1,621.81	$3,890.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,235.94	Professional		$2,137.96	$2,290.87	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,235.94 / $4,570.88	Facility		$812.83	$3,235.94	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $562.34 / $1,995.26	Professional		$60.26	$562.34	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $3,630.78	Professional		$891.25	$1,584.89	$3,630.78