Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,134.04 / $2,134.04 / $2,954.42	Professional		$2,134.04	$2,134.04	$2,954.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.31 / $1,562.31 / $1,562.31	Professional		$1,562.31	$1,562.31	$1,562.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $574.07 / $2,134.04 / $3,051.68	Facility		$574.07	$2,134.04	$3,051.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.38 / $2,904.30 / $3,758.11	Professional		$1,118.38	$2,904.30	$3,758.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,728.75 / $2,005.35 / $2,923.80	Professional		$1,728.75	$2,005.35	$2,923.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.07 / $2,134.04 / $3,051.68	Facility		$574.07	$2,134.04	$3,051.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $628.90 / $1,980.00 / $2,952.52	Professional		$628.90	$1,980.00	$2,952.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.33 / $1,874.79 / $2,891.56	Professional		$1,163.33	$1,874.79	$2,891.56