Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.55 / $10,900.00 / $14,552.94	Facility		$1,210.55	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $455.03 / $2,158.17	Professional		$375.95	$455.03	$2,158.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.87 / $1,381.87 / $1,381.87	Professional		$1,381.87	$1,381.87	$1,381.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $506.32 / $1,989.12 / $2,844.44	Facility		$506.32	$1,989.12	$2,844.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.75 / $2,702.70 / $3,339.96	Professional		$1,040.75	$2,702.70	$3,339.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,356.60 / $1,866.15 / $2,624.60	Professional		$1,356.60	$1,866.15	$2,624.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.32 / $1,989.12 / $2,844.44	Facility		$506.32	$1,989.12	$2,844.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $1,615.00 / $2,676.00	Professional		$570.00	$1,615.00	$2,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,088.46 / $1,105.50 / $3,088.61	Professional		$1,088.46	$1,105.50	$3,088.61