Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.75 / $387.08 / $2,110.62	Professional		$365.75	$387.08	$2,110.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.14 / $558.64 / $1,352.47	Professional		$360.14	$558.64	$1,352.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.40 / $2,110.62 / $2,954.87	Facility		$368.40	$2,110.62	$2,954.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $897.63 / $1,462.68 / $2,692.42	Professional		$897.63	$1,462.68	$2,692.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.39 / $1,732.80 / $2,738.93	Professional		$1,023.39	$1,732.80	$2,738.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.40 / $2,110.62 / $2,954.87	Facility		$368.40	$2,110.62	$2,954.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.46 / $1,340.00 / $2,440.38	Professional		$438.46	$1,340.00	$2,440.38
United Facility/Professional Professional Modifier Low / Median / High Price $582.05 / $1,081.98 / $2,984.47	Professional		$582.05	$1,081.98	$2,984.47