Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.18 / $8,836.00 / $13,413.92	Facility		$1,062.18	$8,836.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.72 / $1,030.05 / $2,159.19	Professional		$486.72	$1,030.05	$2,159.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.71 / $1,241.71 / $1,241.71	Professional		$1,241.71	$1,241.71	$1,241.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.04 / $1,712.60 / $2,449.02	Facility		$446.04	$1,712.60	$2,449.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $865.28 / $2,247.00 / $2,932.80	Professional		$865.28	$2,247.00	$2,932.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,337.50 / $1,551.50 / $3,032.25	Professional		$1,337.50	$1,551.50	$3,032.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.04 / $1,712.60 / $2,449.02	Facility		$446.04	$1,712.60	$2,449.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $487.35 / $1,572.00 / $2,451.40	Professional		$487.35	$1,572.00	$2,451.40
United Facility/Professional Professional Modifier Low / Median / High Price $987.38 / $993.38 / $2,270.96	Professional		$987.38	$993.38	$2,270.96