Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.23 / $10,900.00 / $14,552.94	Facility		$1,321.23	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.80 / $478.13 / $2,415.46	Professional		$444.80	$478.13	$2,415.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.65 / $688.75 / $1,496.64	Professional		$439.65	$688.75	$1,496.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $449.32 / $2,415.46 / $3,381.64	Facility		$449.32	$2,415.46	$3,381.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.09 / $1,664.61 / $3,085.56	Professional		$1,111.09	$1,664.61	$3,085.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,194.30 / $2,072.00 / $3,382.60	Professional		$1,194.30	$2,072.00	$3,382.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.32 / $2,415.46 / $3,381.64	Facility		$449.32	$2,415.46	$3,381.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $547.60 / $1,631.25 / $2,910.15	Professional		$547.60	$1,631.25	$2,910.15
United Facility/Professional Professional Modifier Low / Median / High Price $589.77 / $1,197.30 / $3,302.56	Professional		$589.77	$1,197.30	$3,302.56