Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.36 / $405.42 / $1,937.12	Professional		$326.36	$405.42	$1,937.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.05 / $1,242.05 / $1,242.05	Professional		$1,242.05	$1,242.05	$1,242.05
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 / $2,257.19	Professional		$1,402.50	$1,626.90	$2,257.19
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 $491.15 / $1,600.50 / $2,305.82	Professional		$491.15	$1,600.50	$2,305.82
United Facility/Professional Professional Modifier Low / Median / High Price $960.58 / $993.64 / $2,225.94	Professional		$960.58	$993.64	$2,225.94