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 $599.66 / $670.69 / $3,294.69	Professional		$599.66	$670.69	$3,294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.30 / $965.89 / $2,047.66	Professional		$599.30	$965.89	$2,047.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $605.46 / $3,294.69 / $4,612.57	Facility		$605.46	$3,294.69	$4,612.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.25 / $2,264.76 / $4,199.20	Professional		$1,516.25	$2,264.76	$4,199.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,614.60 / $2,838.40 / $4,626.56	Professional		$1,614.60	$2,838.40	$4,626.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $605.46 / $3,294.69 / $4,612.57	Facility		$605.46	$3,294.69	$4,612.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $753.52 / $2,239.19 / $4,036.30	Professional		$753.52	$2,239.19	$4,036.30
United Facility/Professional Professional Modifier Low / Median / High Price $809.17 / $1,638.12 / $4,518.49	Professional		$809.17	$1,638.12	$4,518.49