Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.04 / $10,175.36 / $13,413.92	Facility		$1,629.04	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.81 / $609.26 / $2,978.23	Professional		$381.81	$609.26	$2,978.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.74 / $993.43 / $1,823.69	Professional		$736.74	$993.43	$1,823.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,227.94 / $3,119.13 / $4,169.52	Facility		$2,227.94	$3,119.13	$4,169.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.68 / $1,434.58 / $2,280.25	Professional		$1,053.68	$1,434.58	$2,280.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.06 / $1,837.50 / $3,518.10	Professional		$1,040.06	$1,837.50	$3,518.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,227.94 / $3,119.13 / $4,169.52	Facility		$2,227.94	$3,119.13	$4,169.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $778.10 / $1,615.00 / $3,499.80	Professional		$778.10	$1,615.00	$3,499.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,962.56 / $2,962.56 / $2,962.56	Facility		$2,962.56	$2,962.56	$2,962.56
United Facility/Professional Professional Modifier Low / Median / High Price $628.14 / $1,458.94 / $2,200.96	Professional		$628.14	$1,458.94	$2,200.96