Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.94 / $10,900.00 / $14,552.94	Facility		$1,751.94	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.11 / $664.37 / $3,202.90	Professional		$603.11	$664.37	$3,202.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.09 / $912.52 / $2,015.73	Professional		$593.09	$912.52	$2,015.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $611.22 / $3,202.90 / $4,484.06	Facility		$611.22	$3,202.90	$4,484.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.73 / $2,220.06 / $4,093.93	Professional		$1,505.73	$2,220.06	$4,093.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,589.00 / $2,668.75 / $4,555.20	Professional		$1,589.00	$2,668.75	$4,555.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.22 / $3,202.90 / $4,484.06	Facility		$611.22	$3,202.90	$4,484.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.19 / $2,200.00 / $3,889.69	Professional		$733.19	$2,200.00	$3,889.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.46 / $1,612.58 / $4,448.04	Professional		$1,401.46	$1,612.58	$4,448.04