Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,585.50 / $13,413.92	Facility		$2,464.00	$6,585.50	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.84 / $2,328.19 / $10,879.11	Professional		$347.84	$2,328.19	$10,879.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.93 / $1,677.47 / $11,044.03	Professional		$915.93	$1,677.47	$11,044.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.84 / $2,651.25 / $15,230.75	Facility		$347.84	$2,651.25	$15,230.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.98 / $5,474.63 / $21,787.35	Professional		$1,129.98	$5,474.63	$21,787.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.25 / $2,295.30 / $15,666.75	Professional		$1,041.25	$2,295.30	$15,666.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $427.81 / $2,651.25 / $15,230.75	Facility		$427.81	$2,651.25	$15,230.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.20 / $2,186.00 / $12,533.40	Professional		$851.20	$2,186.00	$12,533.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,779.38 / $7,210.20 / $10,873.09	Professional		$4,779.38	$7,210.20	$10,873.09