Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.61 / $906.91 / $4,489.43	Professional		$689.61	$906.91	$4,489.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.14 / $1,212.66 / $2,667.76	Professional		$777.14	$1,212.66	$2,667.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $662.76 / $3,589.12 / $6,285.22	Facility		$662.76	$3,589.12	$6,285.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,773.92 / $2,804.59 / $5,432.70	Professional		$1,773.92	$2,804.59	$5,432.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,970.85 / $3,514.05 / $5,082.29	Professional		$1,970.85	$3,514.05	$5,082.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.08 / $3,589.12 / $6,285.22	Facility		$825.08	$3,589.12	$6,285.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,010.38 / $2,815.50 / $4,706.00	Professional		$1,010.38	$2,815.50	$4,706.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.97 / $2,156.52 / $5,175.64	Professional		$1,077.97	$2,156.52	$5,175.64