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 $444.58 / $478.36 / $2,286.46	Professional		$444.58	$478.36	$2,286.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.32 / $705.96 / $1,407.03	Professional		$430.32	$705.96	$1,407.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $449.44 / $2,286.46 / $3,201.04	Facility		$449.44	$2,286.46	$3,201.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.25 / $1,553.55 / $2,882.11	Professional		$1,106.25	$1,553.55	$2,882.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.67 / $2,044.50 / $3,375.54	Professional		$1,125.67	$2,044.50	$3,375.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.44 / $2,286.46 / $3,201.04	Facility		$449.44	$2,286.46	$3,201.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.60 / $1,626.25 / $2,877.60	Professional		$545.60	$1,626.25	$2,877.60
United Facility/Professional Professional Modifier Low / Median / High Price $572.27 / $1,179.67 / $3,065.73	Professional		$572.27	$1,179.67	$3,065.73