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 $660.59 / $728.67 / $3,513.82	Professional		$660.59	$728.67	$3,513.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.51 / $950.21 / $2,223.28	Professional		$649.51	$950.21	$2,223.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $669.59 / $3,513.82 / $4,919.35	Facility		$669.59	$3,513.82	$4,919.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.63 / $2,434.19 / $4,490.70	Professional		$1,645.63	$2,434.19	$4,490.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,729.91 / $3,010.50 / $4,690.39	Professional		$1,729.91	$3,010.50	$4,690.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.59 / $3,513.82 / $4,919.35	Facility		$669.59	$3,513.82	$4,919.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $801.05 / $2,375.00 / $4,122.14	Professional		$801.05	$2,375.00	$4,122.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,537.26 / $1,900.99 / $4,906.04	Professional		$1,537.26	$1,900.99	$4,906.04