Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $13,413.92 / $20,143.00	Facility		$2,236.00	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.80 / $743.02 / $3,654.15	Professional		$685.80	$743.02	$3,654.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.37 / $1,112.78 / $2,328.27	Professional		$674.37	$1,112.78	$2,328.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $693.61 / $3,654.15 / $5,115.81	Facility		$693.61	$3,654.15	$5,115.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.45 / $2,522.07 / $4,649.70	Professional		$1,722.45	$2,522.07	$4,649.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,830.15 / $3,184.50 / $5,255.78	Professional		$1,830.15	$3,184.50	$5,255.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $693.61 / $3,654.15 / $5,115.81	Facility		$693.61	$3,654.15	$5,115.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.06 / $2,529.60 / $4,609.00	Professional		$851.06	$2,529.60	$4,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $936.52 / $1,862.62 / $5,137.74	Professional		$936.52	$1,862.62	$5,137.74