Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,473.32 / $2,638.99 / $4,275.02	Professional		$2,473.32	$2,638.99	$4,275.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.22 / $1,587.22 / $1,587.22	Professional		$1,587.22	$1,587.22	$1,587.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $2,638.99 / $3,773.76	Facility		$579.00	$2,638.99	$3,773.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.95 / $3,040.80 / $3,793.66	Professional		$1,170.95	$3,040.80	$3,793.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,810.00 / $2,099.60 / $3,088.55	Professional		$1,810.00	$2,099.60	$3,088.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $2,638.99 / $3,773.76	Facility		$579.00	$2,638.99	$3,773.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.51 / $2,079.00 / $3,284.40	Professional		$460.51	$2,079.00	$3,284.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.80 / $1,904.67 / $2,909.04	Professional		$1,264.80	$1,904.67	$2,909.04