Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.83 / $10,900.00 / $14,552.94	Facility		$1,730.83	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.95 / $662.51 / $3,164.27	Professional		$601.95	$662.51	$3,164.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.80 / $899.95 / $1,974.92	Professional		$589.80	$899.95	$1,974.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.04 / $3,164.27 / $4,429.97	Facility		$610.04	$3,164.27	$4,429.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.25 / $2,188.02 / $4,040.52	Professional		$1,499.25	$2,188.02	$4,040.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.76 / $2,786.85 / $4,472.00	Professional		$1,541.76	$2,786.85	$4,472.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.04 / $3,164.27 / $4,429.97	Facility		$610.04	$3,164.27	$4,429.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.64 / $2,168.75 / $3,785.92	Professional		$734.64	$2,168.75	$3,785.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,557.62 / $1,579.94 / $3,791.86	Professional		$1,557.62	$1,579.94	$3,791.86