Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,839.16 / $2,138.06 / $7,073.94	Professional		$1,839.16	$2,138.06	$7,073.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.42 / $1,225.83 / $5,076.68	Professional		$584.42	$1,225.83	$5,076.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.50 / $1,458.02 / $2,944.74	Facility		$433.50	$1,458.02	$2,944.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $905.89 / $2,845.70 / $8,367.10	Professional		$905.89	$2,845.70	$8,367.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.25 / $2,627.50 / $7,962.66	Professional		$1,306.25	$2,627.50	$7,962.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.50 / $1,458.02 / $9,691.29	Facility		$433.50	$1,458.02	$9,691.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $873.51 / $2,006.73 / $6,885.45	Professional		$873.51	$2,006.73	$6,885.45
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 $2,516.11 / $3,593.60 / $5,390.40	Professional		$2,516.11	$3,593.60	$5,390.40