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 $562.03 / $617.83 / $2,947.62	Professional		$562.03	$617.83	$2,947.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.02 / $838.79 / $1,840.15	Professional		$550.02	$838.79	$1,840.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.52 / $2,947.62 / $4,126.67	Facility		$569.52	$2,947.62	$4,126.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.45 / $2,043.96 / $3,759.58	Professional		$1,405.45	$2,043.96	$3,759.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.56 / $2,569.50 / $4,162.60	Professional		$1,440.56	$2,569.50	$4,162.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.52 / $2,947.62 / $4,126.67	Facility		$569.52	$2,947.62	$4,126.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.10 / $2,020.00 / $3,522.20	Professional		$686.10	$2,020.00	$3,522.20
United Facility/Professional Professional Modifier Low / Median / High Price $744.51 / $1,472.12 / $4,060.61	Professional		$744.51	$1,472.12	$4,060.61