Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.93 / $8,303.41 / $13,413.92	Facility		$1,873.93	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.37 / $704.87 / $3,425.92	Professional		$655.37	$704.87	$3,425.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $1,014.52 / $2,096.46	Professional		$634.37	$1,014.52	$2,096.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $662.33 / $3,425.92 / $4,796.29	Facility		$662.33	$3,425.92	$4,796.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,618.95 / $2,331.57 / $4,325.31	Professional		$1,618.95	$2,331.57	$4,325.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,770.86 / $2,998.50 / $4,924.39	Professional		$1,770.86	$2,998.50	$4,924.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $662.33 / $3,425.92 / $4,796.29	Facility		$662.33	$3,425.92	$4,796.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $798.80 / $2,368.75 / $4,166.80	Professional		$798.80	$2,368.75	$4,166.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,480.66 / $1,683.52 / $4,626.22	Professional		$1,480.66	$1,683.52	$4,626.22