Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.54 / $504.36 / $2,413.92	Professional		$458.54	$504.36	$2,413.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.63 / $699.22 / $1,514.94	Professional		$450.63	$699.22	$1,514.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $464.68 / $2,413.92 / $3,379.49	Facility		$464.68	$2,413.92	$3,379.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.30 / $1,673.61 / $3,085.67	Professional		$1,148.30	$1,673.61	$3,085.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.66 / $2,153.60 / $3,471.00	Professional		$1,206.66	$2,153.60	$3,471.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.68 / $2,413.92 / $3,379.49	Facility		$464.68	$2,413.92	$3,379.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $561.65 / $1,665.00 / $2,937.00	Professional		$561.65	$1,665.00	$2,937.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.01 / $1,324.01 / $3,343.00	Professional		$1,202.01	$1,324.01	$3,343.00