Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,597.27 / $2,692.78 / $2,692.78	Professional		$2,597.27	$2,692.78	$2,692.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.83 / $623.83 / $1,607.37	Professional		$623.83	$623.83	$1,607.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $591.21 / $713.84 / $3,850.68	Facility		$591.21	$713.84	$3,850.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.55 / $1,407.06 / $3,377.84	Professional		$1,172.55	$1,407.06	$3,377.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.00 / $1,964.25 / $2,653.50	Professional		$1,745.00	$1,964.25	$2,653.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.84 / $713.84 / $3,850.68	Facility		$713.84	$713.84	$3,850.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.00 / $2,288.55 / $3,147.75	Professional		$541.00	$2,288.55	$3,147.75
United Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $1,291.06 / $1,928.85	Professional		$556.60	$1,291.06	$1,928.85