Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.22 / $10,900.00 / $14,552.94	Facility		$1,996.22	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.49 / $748.15 / $3,649.47	Professional		$681.49	$748.15	$3,649.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.10 / $1,029.36 / $2,297.62	Professional		$669.10	$1,029.36	$2,297.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $690.27 / $3,649.47 / $5,109.26	Facility		$690.27	$3,649.47	$5,109.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,749.13 / $2,590.89 / $4,671.43	Professional		$1,749.13	$2,590.89	$4,671.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,813.63 / $3,188.80 / $5,142.80	Professional		$1,813.63	$3,188.80	$5,142.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $690.27 / $3,649.47 / $5,109.26	Facility		$690.27	$3,649.47	$5,109.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $824.50 / $2,474.40 / $4,445.70	Professional		$824.50	$2,474.40	$4,445.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,599.15 / $1,838.10 / $5,070.10	Professional		$1,599.15	$1,838.10	$5,070.10