Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.95 / $7,340.00 / $13,413.92	Facility		$1,458.95	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,935.95 / $2,191.51 / $2,802.20	Professional		$1,935.95	$2,191.51	$2,802.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.37 / $288.37 / $1,627.59	Professional		$288.37	$288.37	$1,627.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.28 / $627.29 / $4,007.15	Facility		$426.28	$627.29	$4,007.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.68 / $1,289.98 / $2,430.53	Professional		$846.68	$1,289.98	$2,430.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,252.50 / $1,850.00 / $2,654.75	Professional		$1,252.50	$1,850.00	$2,654.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.98 / $786.09 / $4,007.15	Facility		$515.98	$786.09	$4,007.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.95 / $1,750.00 / $2,654.75	Professional		$475.95	$1,750.00	$2,654.75
United Facility/Professional Professional Modifier Low / Median / High Price $591.09 / $1,302.08 / $3,942.91	Professional		$591.09	$1,302.08	$3,942.91