Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,206.89 / $10,900.00 / $14,552.94	Facility		$2,206.89	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.26 / $833.84 / $4,034.61	Professional		$756.26	$833.84	$4,034.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.76 / $1,125.46 / $2,555.78	Professional		$744.76	$1,125.46	$2,555.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $766.49 / $4,034.61 / $5,648.45	Facility		$766.49	$4,034.61	$5,648.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,885.80 / $2,795.55 / $5,157.41	Professional		$1,885.80	$2,795.55	$5,157.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.44 / $3,451.80 / $5,636.80	Professional		$1,969.44	$3,451.80	$5,636.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.49 / $4,034.61 / $5,648.45	Facility		$766.49	$4,034.61	$5,648.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $917.03 / $2,673.75 / $4,769.97	Professional		$917.03	$2,673.75	$4,769.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.18 / $2,044.62 / $5,639.76	Professional		$1,023.18	$2,044.62	$5,639.76