Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.18 / $399.65 / $2,182.71	Professional		$355.18	$399.65	$2,182.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.04 / $1,344.04 / $1,344.04	Professional		$1,344.04	$1,344.04	$1,344.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $2,182.71 / $3,121.28	Facility		$477.61	$2,182.71	$3,121.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.40 / $2,377.19 / $3,133.39	Professional		$915.40	$2,377.19	$3,133.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $1,641.40 / $2,499.83	Professional		$1,415.00	$1,641.40	$2,499.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $2,182.71 / $3,121.28	Facility		$477.61	$2,182.71	$3,121.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.73 / $1,683.00 / $2,639.25	Professional		$372.73	$1,683.00	$2,639.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.22 / $1,612.83 / $3,633.00	Professional		$1,075.22	$1,612.83	$3,633.00