Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.91 / $10,900.00 / $14,552.94	Facility		$1,380.91	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $2,269.08 / $2,452.50	Professional		$524.04	$2,269.08	$2,452.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,619.37 / $1,619.37 / $1,619.37	Professional		$1,619.37	$1,619.37	$1,619.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.51 / $2,269.08 / $3,244.78	Facility		$578.51	$2,269.08	$3,244.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.28 / $3,026.10 / $3,810.30	Professional		$1,165.28	$3,026.10	$3,810.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,516.20 / $2,089.44 / $3,082.20	Professional		$1,516.20	$2,089.44	$3,082.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.51 / $2,269.08 / $3,244.78	Facility		$578.51	$2,269.08	$3,244.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $663.10 / $1,805.00 / $3,113.08	Professional		$663.10	$1,805.00	$3,113.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.66 / $1,297.76 / $3,619.44	Professional		$1,234.66	$1,297.76	$3,619.44