Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,000.00 / $20,417.38	Facility		$2,344.23	$10,000.00	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $4,168.69	Professional		$776.25	$1,148.15	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,511.89	Professional		$1,348.96	$1,348.96	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $4,168.69	Facility		$831.76	$1,071.52	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $933.25 / $4,168.69	Professional		$60.26	$933.25	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,168.69	Professional		$2,630.27	$3,090.30	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $5,888.44	Facility		$1,000.00	$1,174.90	$5,888.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $707.95 / $2,511.89	Professional		$60.26	$707.95	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,949.84 / $6,025.60	Professional		$812.83	$1,949.84	$6,025.60