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 $725.57 / $800.19 / $3,858.75	Professional		$725.57	$800.19	$3,858.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.29 / $1,099.08 / $2,437.40	Professional		$712.29	$1,099.08	$2,437.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $735.42 / $3,858.75 / $5,402.25	Facility		$735.42	$3,858.75	$5,402.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,805.75 / $2,672.52 / $4,928.88	Professional		$1,805.75	$2,672.52	$4,928.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,880.56 / $3,418.80 / $5,493.80	Professional		$1,880.56	$3,418.80	$5,493.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.42 / $3,858.75 / $5,402.25	Facility		$735.42	$3,858.75	$5,402.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $878.17 / $2,628.75 / $4,689.68	Professional		$878.17	$2,628.75	$4,689.68
United Facility/Professional Professional Modifier Low / Median / High Price $976.63 / $1,949.92 / $5,378.54	Professional		$976.63	$1,949.92	$5,378.54