Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,829.10 / $10,900.00 / $14,552.94	Facility		$1,829.10	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.99 / $658.68 / $3,343.94	Professional		$612.99	$658.68	$3,343.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.33 / $924.34 / $2,053.60	Professional		$607.33	$924.34	$2,053.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.16 / $3,343.94 / $4,681.52	Facility		$619.16	$3,343.94	$4,681.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.08 / $2,310.03 / $4,273.45	Professional		$1,538.08	$2,310.03	$4,273.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.90 / $2,830.40 / $4,550.00	Professional		$1,629.90	$2,830.40	$4,550.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.16 / $3,343.94 / $4,681.52	Facility		$619.16	$3,343.94	$4,681.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $755.76 / $2,206.25 / $3,935.95	Professional		$755.76	$2,206.25	$3,935.95
United Facility/Professional Professional Modifier Low / Median / High Price $806.61 / $1,642.88 / $4,531.62	Professional		$806.61	$1,642.88	$4,531.62