Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $12,022.64 / $16,595.87	Facility		$2,398.83	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $3,801.89	Professional		$707.95	$891.25	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $5,248.07	Facility		$794.33	$1,071.52	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $5,495.41	Professional		$1,737.80	$2,238.72	$5,495.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,570.88	Professional		$3,235.94	$3,235.94	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,801.89 / $5,370.32	Facility		$1,071.52	$3,801.89	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $724.44 / $2,691.53	Professional		$60.26	$724.44	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $4,786.30	Professional		$2,041.74	$2,137.96	$4,786.30