Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,809.92 / $1,809.92 / $1,809.92	Professional		$1,809.92	$1,809.92	$1,809.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.44 / $1,033.44 / $1,033.44	Professional		$1,033.44	$1,033.44	$1,033.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.04 / $1,809.92 / $2,588.19	Facility		$350.04	$1,809.92	$2,588.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.24 / $302.24 / $431.78	Professional		$302.24	$302.24	$431.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.75 / $1,448.55 / $2,027.07	Professional		$1,248.75	$1,448.55	$2,027.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.04 / $1,809.92 / $2,588.19	Facility		$350.04	$1,809.92	$2,588.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.24 / $1,368.00 / $2,077.07	Professional		$302.24	$1,368.00	$2,077.07
United Facility/Professional Professional Modifier Low / Median / High Price $673.78 / $1,013.19 / $1,549.69	Professional		$673.78	$1,013.19	$1,549.69