Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.93 / $455.43 / $2,228.51	Professional		$417.93	$455.43	$2,228.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $671.60 / $1,455.37	Professional		$402.20	$671.60	$1,455.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.87 / $2,228.51 / $3,119.91	Facility		$422.87	$2,228.51	$3,119.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.60 / $1,521.84 / $2,828.21	Professional		$1,007.60	$1,521.84	$2,828.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.80 / $2,003.20 / $3,074.51	Professional		$1,135.80	$2,003.20	$3,074.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.87 / $2,228.51 / $3,119.91	Facility		$422.87	$2,228.51	$3,119.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.16 / $1,542.00 / $2,837.50	Professional		$497.16	$1,542.00	$2,837.50
United Facility/Professional Facility Modifier Low / Median / High Price $10,811.40 / $10,811.40 / $10,811.40	Facility		$10,811.40	$10,811.40	$10,811.40
United Facility/Professional Professional Modifier Low / Median / High Price $968.18 / $1,185.98 / $3,211.54	Professional		$968.18	$1,185.98	$3,211.54