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 $666.52 / $3,351.11 / $3,351.11	Professional		$666.52	$3,351.11	$3,351.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.25 / $1,047.25 / $2,057.69	Professional		$1,047.25	$1,047.25	$2,057.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,351.11 / $4,691.55 / $4,792.09	Facility		$3,351.11	$4,691.55	$4,792.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,387.17 / $1,849.56 / $3,335.50	Professional		$1,387.17	$1,849.56	$3,335.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.80 / $2,565.00 / $5,146.20	Professional		$1,440.80	$2,565.00	$5,146.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,351.11 / $4,691.55 / $4,792.09	Facility		$3,351.11	$4,691.55	$4,792.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.23 / $1,908.07 / $4,283.49	Professional		$841.23	$1,908.07	$4,283.49
United Facility/Professional Professional Modifier Low / Median / High Price $673.74 / $1,646.16 / $2,483.41	Professional		$673.74	$1,646.16	$2,483.41