Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $12,022.64 / $16,595.87	Facility		$2,187.76	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $3,388.44	Professional		$660.69	$912.01	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $4,677.35	Facility		$707.95	$1,148.15	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $5,011.87	Professional		$1,548.82	$1,995.26	$5,011.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,466.84	Professional		$2,818.38	$2,818.38	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,388.44 / $4,786.30	Facility		$1,174.90	$3,388.44	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $691.83 / $2,511.89	Professional		$60.26	$691.83	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $4,570.88	Professional		$1,778.28	$1,995.26	$4,570.88