Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,650.25 / $9,813.00 / $14,552.94	Facility		$2,650.25	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.04 / $960.47 / $4,845.16	Professional		$783.04	$960.47	$4,845.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.37 / $1,460.69 / $3,090.87	Professional		$889.37	$1,460.69	$3,090.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $916.03 / $4,845.16 / $6,783.22	Facility		$916.03	$4,845.16	$6,783.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,267.50 / $3,341.70 / $6,161.98	Professional		$2,267.50	$3,341.70	$6,161.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.88 / $4,125.00 / $6,918.87	Professional		$2,398.88	$4,125.00	$6,918.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $916.03 / $4,845.16 / $6,783.22	Facility		$916.03	$4,845.16	$6,783.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,110.04 / $3,334.80 / $6,076.09	Professional		$1,110.04	$3,334.80	$6,076.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,147.16 / $2,499.84 / $5,934.48	Professional		$1,147.16	$2,499.84	$5,934.48