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 $475.60 / $500.83 / $2,692.13	Professional		$475.60	$500.83	$2,692.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.72 / $723.83 / $1,681.21	Professional		$470.72	$723.83	$1,681.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.95 / $2,692.13 / $3,768.98	Facility		$478.95	$2,692.13	$3,768.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.45 / $1,723.65 / $3,439.10	Professional		$1,198.45	$1,723.65	$3,439.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.23 / $2,207.69 / $3,551.60	Professional		$1,231.23	$2,207.69	$3,551.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.95 / $2,692.13 / $3,768.98	Facility		$478.95	$2,692.13	$3,768.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.98 / $1,721.25 / $3,070.71	Professional		$580.98	$1,721.25	$3,070.71
United Facility/Professional Professional Modifier Low / Median / High Price $637.86 / $1,344.96 / $3,709.86	Professional		$637.86	$1,344.96	$3,709.86