Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.07 / $10,900.00 / $14,552.94	Facility		$1,419.07	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.31 / $546.11 / $2,594.35	Professional		$497.31	$546.11	$2,594.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.30 / $732.55 / $1,609.46	Professional		$486.30	$732.55	$1,609.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.91 / $2,594.35 / $3,632.09	Facility		$503.91	$2,594.35	$3,632.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,248.58 / $1,801.65 / $3,308.58	Professional		$1,248.58	$1,801.65	$3,308.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,268.08 / $2,277.00 / $3,627.00	Professional		$1,268.08	$2,277.00	$3,627.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.91 / $2,594.35 / $3,632.09	Facility		$503.91	$2,594.35	$3,632.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.12 / $1,773.75 / $3,069.00	Professional		$608.12	$1,773.75	$3,069.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,484.78 / $5,484.78 / $5,484.78	Facility		$5,484.78	$5,484.78	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $654.04 / $1,303.40 / $3,551.53	Professional		$654.04	$1,303.40	$3,551.53