Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.80 / $2,092.59 / $2,092.59	Professional		$2,015.80	$2,092.59	$2,092.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $394.10 / $1,251.16	Professional		$394.10	$394.10	$1,251.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $458.60 / $552.51 / $2,992.40	Facility		$458.60	$552.51	$2,992.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $908.93 / $1,090.71 / $2,625.62	Professional		$908.93	$1,090.71	$2,625.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,356.25 / $1,521.45 / $2,056.92	Professional		$1,356.25	$1,521.45	$2,056.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.51 / $552.51 / $2,992.40	Facility		$552.51	$552.51	$2,992.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $1,775.40 / $2,441.25	Professional		$394.10	$1,775.40	$2,441.25
United Facility/Professional Professional Modifier Low / Median / High Price $430.85 / $1,000.92 / $3,030.95	Professional		$430.85	$1,000.92	$3,030.95