Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.97 / $9,285.00 / $12,451.84	Facility		$1,535.97	$9,285.00	$12,451.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.56 / $596.05 / $2,808.05	Professional		$409.56	$596.05	$2,808.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.77 / $760.98 / $1,707.21	Professional		$466.77	$760.98	$1,707.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.95 / $2,200.10 / $3,931.27	Facility		$422.95	$2,200.10	$3,931.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,099.19 / $1,773.49 / $3,542.70	Professional		$1,099.19	$1,773.49	$3,542.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.95 / $2,261.25 / $3,399.00	Professional		$1,258.95	$2,261.25	$3,399.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.35 / $2,200.10 / $3,931.27	Facility		$494.35	$2,200.10	$3,931.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.67 / $1,819.70 / $3,090.00	Professional		$646.67	$1,819.70	$3,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $597.99 / $1,380.14 / $3,806.90	Professional		$597.99	$1,380.14	$3,806.90