Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $12,022.64 / $16,595.87	Facility		$2,951.21	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,951.21	Professional		$891.25	$1,202.26	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,388.44	Professional		$954.99	$1,380.38	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $3,890.45	Facility		$1,000.00	$1,548.82	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $6,165.95	Professional		$2,238.72	$3,235.94	$6,165.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $6,165.95	Professional		$2,511.89	$4,073.80	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,890.45	Facility		$1,174.90	$1,584.89	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,445.44 / $3,388.44	Professional		$60.26	$1,445.44	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,691.53 / $6,456.54	Professional		$933.25	$2,691.53	$6,456.54