Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.36 / $1,486.06 / $7,797.95	Professional		$277.36	$1,486.06	$7,797.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,505.02 / $3,505.02 / $3,505.02	Professional	50	$3,505.02	$3,505.02	$3,505.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.10 / $1,522.69 / $5,513.28	Professional		$561.10	$1,522.69	$5,513.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $393.14 / $1,694.94 / $2,796.77	Facility		$393.14	$1,694.94	$2,796.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $845.25 / $2,563.34 / $9,467.59	Professional		$845.25	$2,563.34	$9,467.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,221.25 / $2,356.52 / $8,389.50	Professional		$1,221.25	$2,356.52	$8,389.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.14 / $1,694.94 / $10,683.19	Facility		$393.14	$1,694.94	$10,683.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.39 / $2,099.92 / $7,646.05	Professional		$816.39	$2,099.92	$7,646.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,774.00 / $4,774.00 / $4,774.00	Facility		$4,774.00	$4,774.00	$4,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,202.00 / $3,645.14 / $5,467.71	Professional		$2,202.00	$3,645.14	$5,467.71