Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.91 / $3,285.87 / $3,285.87	Professional		$550.91	$3,285.87	$3,285.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.18 / $726.18 / $1,913.81	Professional		$726.18	$726.18	$1,913.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $726.71 / $888.39 / $4,698.79	Facility		$726.71	$888.39	$4,698.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.90 / $1,735.08 / $4,100.38	Professional		$1,445.90	$1,735.08	$4,100.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,072.50 / $2,430.00 / $3,272.04	Professional		$2,072.50	$2,430.00	$3,272.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.39 / $888.39 / $4,698.79	Facility		$888.39	$888.39	$4,698.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $654.00 / $2,707.65 / $3,721.50	Professional		$654.00	$2,707.65	$3,721.50
United Facility/Professional Professional Modifier Low / Median / High Price $667.49 / $1,531.04 / $4,636.22	Professional		$667.49	$1,531.04	$4,636.22