Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.74 / $6,541.00 / $13,413.92	Facility		$1,330.74	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,359.10 / $2,407.28 / $2,723.60	Professional		$2,359.10	$2,407.28	$2,723.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.62 / $1,441.62 / $1,526.35	Professional		$1,441.62	$1,441.62	$1,526.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.53 / $2,509.07 / $3,512.70	Facility		$533.53	$2,509.07	$3,512.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.40 / $2,717.40 / $3,487.84	Professional		$1,046.40	$2,717.40	$3,487.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,636.25 / $2,014.05 / $2,708.20	Professional		$1,636.25	$2,014.05	$2,708.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $533.53 / $2,509.07 / $3,512.70	Facility		$533.53	$2,509.07	$3,512.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $696.05 / $1,876.50 / $2,919.07	Professional		$696.05	$1,876.50	$2,919.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.93 / $1,842.13 / $3,973.22	Professional		$1,165.93	$1,842.13	$3,973.22