Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.99 / $10,900.00 / $14,552.94	Facility		$1,574.99	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.27 / $604.19 / $2,879.40	Professional		$549.27	$604.19	$2,879.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.17 / $818.38 / $1,798.85	Professional		$536.17	$818.38	$1,798.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $556.63 / $2,879.40 / $4,031.16	Facility		$556.63	$2,879.40	$4,031.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,370.68 / $1,995.36 / $3,669.11	Professional		$1,370.68	$1,995.36	$3,669.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,423.00 / $2,511.00 / $4,063.80	Professional		$1,423.00	$2,511.00	$4,063.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.63 / $2,879.40 / $4,031.16	Facility		$556.63	$2,879.40	$4,031.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $668.48 / $1,971.25 / $3,438.60	Professional		$668.48	$1,971.25	$3,438.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.02 / $1,563.00 / $4,317.24	Professional		$1,256.02	$1,563.00	$4,317.24