Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $405.84 / $1,940.11	Professional		$326.68	$405.84	$1,940.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.65 / $1,243.65 / $1,243.65	Professional		$1,243.65	$1,243.65	$1,243.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.61 / $1,758.69 / $2,514.92	Facility		$456.61	$1,758.69	$2,514.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $907.33 / $2,356.19 / $3,010.28	Professional		$907.33	$2,356.19	$3,010.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,402.50 / $1,626.90 / $2,261.60	Professional		$1,402.50	$1,626.90	$2,261.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.61 / $1,758.69 / $2,514.92	Facility		$456.61	$1,758.69	$2,514.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $490.68 / $1,603.50 / $2,303.59	Professional		$490.68	$1,603.50	$2,303.59
United Facility/Professional Professional Modifier Low / Median / High Price $960.58 / $1,492.38 / $2,228.92	Professional		$960.58	$1,492.38	$2,228.92