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 $641.53 / $707.20 / $3,414.20	Professional		$641.53	$707.20	$3,414.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.72 / $980.38 / $2,158.19	Professional		$631.72	$980.38	$2,158.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $650.22 / $3,414.20 / $4,779.88	Facility		$650.22	$3,414.20	$4,779.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,602.78 / $2,368.08 / $4,365.85	Professional		$1,602.78	$2,368.08	$4,365.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,709.89 / $3,030.40 / $4,890.59	Professional		$1,709.89	$3,030.40	$4,890.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $650.22 / $3,414.20 / $4,779.88	Facility		$650.22	$3,414.20	$4,779.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.50 / $2,335.00 / $4,165.64	Professional		$779.50	$2,335.00	$4,165.64
United Facility/Professional Professional Modifier Low / Median / High Price $996.99 / $1,726.56 / $4,762.43	Professional		$996.99	$1,726.56	$4,762.43