Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.30 / $9,285.00 / $14,552.94	Facility		$1,208.30	$9,285.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.56 / $1,747.67 / $2,122.67	Professional		$394.56	$1,747.67	$2,122.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.57 / $1,192.57 / $1,309.58	Professional		$1,192.57	$1,192.57	$1,309.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.19 / $1,985.43 / $2,779.60	Facility		$445.19	$1,985.43	$2,779.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $926.73 / $2,406.60 / $2,937.48	Professional		$926.73	$2,406.60	$2,937.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.75 / $1,892.25 / $2,329.42	Professional		$1,298.75	$1,892.25	$2,329.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.19 / $1,985.43 / $2,779.60	Facility		$445.19	$1,985.43	$2,779.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $623.41 / $1,646.25 / $2,441.88	Professional		$623.41	$1,646.25	$2,441.88
United Facility/Professional Facility Modifier Low / Median / High Price $6,359.06 / $6,359.06 / $6,359.06	Facility		$6,359.06	$6,359.06	$6,359.06
United Facility/Professional Professional Modifier Low / Median / High Price $984.82 / $1,047.66 / $2,619.15	Professional		$984.82	$1,047.66	$2,619.15