Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,024.39 / $8,303.41 / $13,413.92	Facility		$2,024.39	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.11 / $750.53 / $3,700.96	Professional		$696.11	$750.53	$3,700.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.30 / $1,060.60 / $2,333.58	Professional		$672.30	$1,060.60	$2,333.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $703.45 / $3,700.96 / $5,181.34	Facility		$703.45	$3,700.96	$5,181.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,703.85 / $2,562.27 / $4,729.56	Professional		$1,703.85	$2,562.27	$4,729.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,824.55 / $3,235.20 / $5,199.02	Professional		$1,824.55	$3,235.20	$5,199.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $703.45 / $3,700.96 / $5,181.34	Facility		$703.45	$3,700.96	$5,181.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $836.26 / $2,500.80 / $4,495.68	Professional		$836.26	$2,500.80	$4,495.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,619.04 / $1,866.86 / $5,149.43	Professional		$1,619.04	$1,866.86	$5,149.43