Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,022.64 / $20,892.96	Facility		$4,466.84	$12,022.64	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,949.84 / $2,951.21	Professional		$407.38	$1,949.84	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $5,754.40	Professional		$1,380.38	$1,380.38	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,995.26 / $12,302.69	Facility		$457.09	$1,995.26	$12,302.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,754.23 / $10,232.93	Professional		$870.96	$2,754.23	$10,232.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $8,709.64	Professional		$1,548.82	$2,691.53	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,090.30 / $12,302.69	Facility		$588.84	$3,090.30	$12,302.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $537.03 / $5,754.40	Professional		$60.26	$537.03	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,884.03 / $6,918.31	Professional		$660.69	$2,884.03	$6,918.31