Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.01 / $669.02 / $3,223.72	Professional		$607.01	$669.02	$3,223.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.60 / $925.84 / $2,033.81	Professional		$597.60	$925.84	$2,033.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $615.22 / $3,223.72 / $4,513.21	Facility		$615.22	$3,223.72	$4,513.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.05 / $2,237.52 / $4,124.62	Professional		$1,517.05	$2,237.52	$4,124.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,619.80 / $2,860.80 / $4,620.20	Professional		$1,619.80	$2,860.80	$4,620.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $615.22 / $3,223.72 / $4,513.21	Facility		$615.22	$3,223.72	$4,513.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $738.61 / $2,217.60 / $3,942.49	Professional		$738.61	$2,217.60	$3,942.49
United Facility/Professional Professional Modifier Low / Median / High Price $816.34 / $1,627.04 / $4,487.93	Professional		$816.34	$1,627.04	$4,487.93