Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $13,413.92 / $20,143.00	Facility		$2,236.00	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.32 / $844.70 / $4,083.18	Professional		$765.32	$844.70	$4,083.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.45 / $1,166.55 / $2,588.41	Professional		$751.45	$1,166.55	$2,588.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.77 / $4,083.18 / $5,716.45	Facility		$775.77	$4,083.18	$5,716.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.18 / $2,825.04 / $5,213.01	Professional		$1,901.18	$2,825.04	$5,213.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,019.29 / $3,619.20 / $5,801.09	Professional		$2,019.29	$3,619.20	$5,801.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.77 / $4,083.18 / $5,716.45	Facility		$775.77	$4,083.18	$5,716.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $923.72 / $2,791.20 / $5,016.05	Professional		$923.72	$2,791.20	$5,016.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,784.52 / $2,070.71 / $5,711.75	Professional		$1,784.52	$2,070.71	$5,711.75