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 $678.17 / $781.52 / $3,830.59	Professional		$678.17	$781.52	$3,830.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.67 / $1,113.25 / $2,319.14	Professional		$709.67	$1,113.25	$2,319.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $734.70 / $3,830.59 / $5,362.83	Facility		$734.70	$3,830.59	$5,362.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,814.65 / $2,624.58 / $4,855.51	Professional		$1,814.65	$2,624.58	$4,855.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,948.31 / $3,322.50 / $5,413.20	Professional		$1,948.31	$3,322.50	$5,413.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.70 / $3,830.59 / $5,362.83	Facility		$734.70	$3,830.59	$5,362.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.54 / $2,602.50 / $4,580.39	Professional		$892.54	$2,602.50	$4,580.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,662.16 / $2,107.98 / $5,117.60	Professional		$1,662.16	$2,107.98	$5,117.60