Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,401.57 / $10,900.00 / $14,552.94	Facility		$2,401.57	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.03 / $940.43 / $4,390.55	Professional		$828.03	$940.43	$4,390.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.05 / $1,268.53 / $2,671.54	Professional		$808.05	$1,268.53	$2,671.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $836.66 / $4,390.55 / $6,146.77	Facility		$836.66	$4,390.55	$6,146.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.10 / $3,009.60 / $5,566.17	Professional		$2,062.10	$3,009.60	$5,566.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,229.30 / $3,784.00 / $6,185.40	Professional		$2,229.30	$3,784.00	$6,185.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $836.66 / $4,390.55 / $6,146.77	Facility		$836.66	$4,390.55	$6,146.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,028.82 / $2,981.25 / $5,233.80	Professional		$1,028.82	$2,981.25	$5,233.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,220.91 / $2,183.19 / $5,895.23	Professional		$1,220.91	$2,183.19	$5,895.23