Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $9,285.00 / $13,413.92	Facility		$4,473.04	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $568.33 / $2,701.54	Professional		$486.01	$568.33	$2,701.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,409.54 / $1,883.19 / $2,454.28	Professional		$1,409.54	$1,883.19	$2,454.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $525.30 / $2,701.54 / $3,782.16	Facility		$525.30	$2,701.54	$3,782.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $554.28 / $554.28 / $791.83	Professional		$554.28	$554.28	$791.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,828.20 / $2,528.40 / $3,350.00	Professional		$1,828.20	$2,528.40	$3,350.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.30 / $2,701.54 / $3,782.16	Facility		$525.30	$2,701.54	$3,782.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $791.83 / $2,825.40 / $3,827.38	Professional		$791.83	$2,825.40	$3,827.38
United Facility/Professional Professional Modifier Low / Median / High Price $363.58 / $363.58 / $881.93	Professional		$363.58	$363.58	$881.93