Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.26 / $10,900.00 / $14,552.94	Facility		$1,862.26	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.26 / $669.72 / $3,404.57	Professional		$623.26	$669.72	$3,404.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.39 / $940.66 / $2,095.60	Professional		$617.39	$940.66	$2,095.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $629.52 / $3,404.57 / $4,766.39	Facility		$629.52	$3,404.57	$4,766.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,559.10 / $2,349.27 / $4,351.49	Professional		$1,559.10	$2,349.27	$4,351.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,650.74 / $2,881.60 / $4,633.20	Professional		$1,650.74	$2,881.60	$4,633.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.52 / $3,404.57 / $4,766.39	Facility		$629.52	$3,404.57	$4,766.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.69 / $2,246.25 / $4,007.31	Professional		$767.69	$2,246.25	$4,007.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,641.91 / $1,676.48 / $4,023.55	Professional		$1,641.91	$1,676.48	$4,023.55