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 $2,109.23 / $2,232.94 / $3,539.87	Professional		$2,109.23	$2,232.94	$3,539.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.19 / $1,323.19 / $1,323.19	Professional		$1,323.19	$1,323.19	$1,323.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $492.90 / $2,232.94 / $3,193.10	Facility		$492.90	$2,232.94	$3,193.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.50 / $2,639.70 / $3,219.19	Professional		$1,016.50	$2,639.70	$3,219.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,571.25 / $1,822.65 / $2,360.25	Professional		$1,571.25	$1,822.65	$2,360.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $492.90 / $2,232.94 / $3,193.10	Facility		$492.90	$2,232.94	$3,193.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.03 / $1,762.50 / $2,648.32	Professional		$387.03	$1,762.50	$2,648.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.30 / $1,587.84 / $2,408.79	Professional		$1,047.30	$1,587.84	$2,408.79