Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,541.00 / $13,413.92	Facility		$2,464.00	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.68 / $2,041.38 / $9,314.61	Professional		$300.68	$2,041.38	$9,314.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.64 / $1,386.57 / $9,427.12	Professional		$857.64	$1,386.57	$9,427.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.68 / $2,041.38 / $13,040.45	Facility		$300.68	$2,041.38	$13,040.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $883.91 / $2,256.30 / $11,984.70	Professional		$883.91	$2,256.30	$11,984.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,051.75 / $1,948.00 / $9,530.01	Professional		$1,051.75	$1,948.00	$9,530.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.72 / $2,241.81 / $13,040.45	Facility		$307.72	$2,241.81	$13,040.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $2,045.40 / $8,175.30	Professional		$836.00	$2,045.40	$8,175.30
United Facility/Professional Professional Modifier Low / Median / High Price $4,429.84 / $6,682.88 / $10,077.89	Professional		$4,429.84	$6,682.88	$10,077.89