Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,513.00 / $9,687.67 / $14,552.94	Facility		$4,513.00	$9,687.67	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,036.72 / $2,191.98 / $2,627.82	Professional		$2,036.72	$2,191.98	$2,627.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.29 / $1,386.29 / $1,386.29	Professional		$1,386.29	$1,386.29	$1,386.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.38 / $2,191.98 / $3,134.53	Facility		$480.38	$2,191.98	$3,134.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $928.35 / $2,410.80 / $3,153.09	Professional		$928.35	$2,410.80	$3,153.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,435.00 / $1,664.60 / $2,613.56	Professional		$1,435.00	$1,664.60	$2,613.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.38 / $2,191.98 / $3,134.53	Facility		$480.38	$2,191.98	$3,134.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.69 / $1,761.00 / $2,803.64	Professional		$389.69	$1,761.00	$2,803.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.04 / $1,663.56 / $2,571.91	Professional		$1,109.04	$1,663.56	$2,571.91