Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.83 / $10,900.00 / $14,552.94	Facility		$1,613.83	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.54 / $618.76 / $2,950.41	Professional		$563.54	$618.76	$2,950.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.45 / $836.33 / $1,830.08	Professional		$551.45	$836.33	$1,830.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.99 / $2,950.41 / $4,130.57	Facility		$570.99	$2,950.41	$4,130.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.35 / $2,046.63 / $3,759.36	Professional		$1,414.35	$2,046.63	$3,759.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.00 / $2,578.50 / $4,144.39	Professional		$1,382.00	$2,578.50	$4,144.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.99 / $2,950.41 / $4,130.57	Facility		$570.99	$2,950.41	$4,130.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $688.98 / $2,013.75 / $3,506.80	Professional		$688.98	$2,013.75	$3,506.80
United Facility/Professional Professional Modifier Low / Median / High Price $742.22 / $1,464.06 / $4,038.38	Professional		$742.22	$1,464.06	$4,038.38