Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $8,090.15 / $14,422.03	Facility		$2,236.00	$8,090.15	$14,422.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.41 / $810.02 / $2,740.57	Professional		$421.41	$810.02	$2,740.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,447.04 / $1,447.04 / $1,447.04	Professional		$1,447.04	$1,447.04	$1,447.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $523.87 / $1,952.42 / $2,791.96	Facility		$523.87	$1,952.42	$2,791.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $996.28 / $2,587.19 / $3,427.58	Professional		$996.28	$2,587.19	$3,427.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,540.00 / $1,786.40 / $2,657.60	Professional		$1,540.00	$1,786.40	$2,657.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.87 / $1,952.42 / $2,791.96	Facility		$523.87	$1,952.42	$2,791.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.38 / $1,797.00 / $2,687.15	Professional		$572.38	$1,797.00	$2,687.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.47 / $1,736.46 / $2,682.26	Professional		$1,040.47	$1,736.46	$2,682.26