Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,923.34 / $10,480.00 / $13,413.92	Facility		$2,923.34	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.25 / $594.50 / $2,053.60	Professional		$516.25	$594.50	$2,053.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.88 / $1,363.88 / $1,363.88	Professional		$1,363.88	$1,363.88	$1,363.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $493.18 / $1,840.12 / $2,631.37	Facility		$493.18	$1,840.12	$2,631.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $938.05 / $2,436.00 / $3,230.50	Professional		$938.05	$2,436.00	$3,230.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,450.00 / $1,682.00 / $2,503.60	Professional		$1,450.00	$1,682.00	$2,503.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.18 / $1,840.12 / $2,631.37	Facility		$493.18	$1,840.12	$2,631.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $538.65 / $1,696.50 / $2,528.82	Professional		$538.65	$1,696.50	$2,528.82
United Facility/Professional Professional Modifier Low / Median / High Price $982.06 / $1,636.65 / $2,525.12	Professional		$982.06	$1,636.65	$2,525.12