Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.70 / $841.54 / $3,036.24	Professional		$578.70	$841.54	$3,036.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.19 / $841.70 / $1,841.84	Professional		$566.19	$841.70	$1,841.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $586.40 / $3,036.24 / $4,250.74	Facility		$586.40	$3,036.24	$4,250.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.13 / $2,105.55 / $3,869.80	Professional		$1,449.13	$2,105.55	$3,869.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.81 / $2,602.05 / $4,152.20	Professional		$1,447.81	$2,602.05	$4,152.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $586.40 / $3,036.24 / $4,250.74	Facility		$586.40	$3,036.24	$4,250.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $2,001.25 / $3,548.12	Professional		$706.44	$2,001.25	$3,548.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,324.72 / $1,516.48 / $4,064.36	Professional		$1,324.72	$1,516.48	$4,064.36