Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.25 / $611.22 / $2,999.66	Professional		$481.25	$611.22	$2,999.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.47 / $919.60 / $1,909.02	Professional		$555.47	$919.60	$1,909.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.76 / $2,999.66 / $4,199.52	Facility		$570.76	$2,999.66	$4,199.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.20 / $1,897.89 / $3,819.26	Professional		$1,419.20	$1,897.89	$3,819.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,495.12 / $2,575.50 / $4,330.46	Professional		$1,495.12	$2,575.50	$4,330.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.76 / $2,999.66 / $4,199.52	Facility		$570.76	$2,999.66	$4,199.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $695.48 / $2,084.40 / $3,803.80	Professional		$695.48	$2,084.40	$3,803.80
United Facility/Professional Professional Modifier Low / Median / High Price $769.41 / $1,527.22 / $4,212.59	Professional		$769.41	$1,527.22	$4,212.59