Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $12,022.64 / $16,595.87	Facility		$2,089.30	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $3,890.45	Professional		$691.83	$954.99	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $5,370.32	Facility		$812.83	$1,071.52	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $4,677.35	Professional		$1,584.89	$2,041.74	$4,677.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,754.23 / $4,168.69	Professional		$2,691.53	$2,754.23	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,890.45 / $5,495.41	Facility		$1,071.52	$3,890.45	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $707.95 / $2,511.89	Professional		$60.26	$707.95	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $4,570.88	Professional		$1,000.00	$3,019.95	$4,570.88