Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.25 / $7,340.00 / $13,413.92	Facility		$1,479.25	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,051.34 / $2,239.52 / $2,841.20	Professional		$2,051.34	$2,239.52	$2,841.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.01 / $456.01 / $1,651.14	Professional		$456.01	$456.01	$1,651.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.92 / $640.92 / $4,062.92	Facility		$460.92	$640.92	$4,062.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $917.83 / $1,310.06 / $2,590.84	Professional		$917.83	$1,310.06	$2,590.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,343.75 / $1,986.25 / $2,730.60	Professional		$1,343.75	$1,986.25	$2,730.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $565.52 / $807.38 / $4,062.92	Facility		$565.52	$807.38	$4,062.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $496.42 / $1,865.50 / $2,730.60	Professional		$496.42	$1,865.50	$2,730.60
United Facility/Professional Professional Modifier Low / Median / High Price $626.11 / $1,320.92 / $3,999.96	Professional		$626.11	$1,320.92	$3,999.96