Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.58 / $9,577.00 / $14,552.94	Facility		$1,463.58	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.89 / $654.32 / $2,811.13	Professional		$541.89	$654.32	$2,811.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.84 / $1,022.84 / $1,677.16	Professional		$1,022.84	$1,022.84	$1,677.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.02 / $730.61 / $4,019.92	Facility		$602.02	$730.61	$4,019.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,196.00 / $1,482.75 / $2,674.00	Professional		$1,196.00	$1,482.75	$2,674.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,776.25 / $2,070.90 / $2,732.45	Professional		$1,776.25	$2,070.90	$2,732.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.61 / $756.70 / $4,019.92	Facility		$730.61	$756.70	$4,019.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $2,336.40 / $3,262.98	Professional		$674.98	$2,336.40	$3,262.98
United Facility/Professional Professional Modifier Low / Median / High Price $791.13 / $1,349.40 / $4,062.94	Professional		$791.13	$1,349.40	$4,062.94