Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,577.00 / $14,552.94	Facility		$2,236.00	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.68 / $449.71 / $2,163.40	Professional		$345.68	$449.71	$2,163.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.13 / $623.04 / $1,352.17	Professional		$404.13	$623.04	$1,352.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $414.30 / $2,163.40 / $3,028.76	Facility		$414.30	$2,163.40	$3,028.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.63 / $1,502.04 / $2,768.48	Professional		$1,028.63	$1,502.04	$2,768.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.11 / $1,867.50 / $3,096.60	Professional		$1,055.11	$1,867.50	$3,096.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.30 / $2,163.40 / $3,028.76	Facility		$414.30	$2,163.40	$3,028.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.11 / $1,462.50 / $2,609.10	Professional		$503.11	$1,462.50	$2,609.10
United Facility/Professional Professional Modifier Low / Median / High Price $947.71 / $1,081.74 / $2,983.81	Professional		$947.71	$1,081.74	$2,983.81