Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.20 / $6,541.00 / $13,413.92	Facility		$1,501.20	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.95 / $2,720.85 / $2,883.38	Professional		$965.95	$2,720.85	$2,883.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,623.70 / $1,623.70 / $1,721.54	Professional		$1,623.70	$1,623.70	$1,721.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.61 / $731.30 / $4,123.22	Facility		$602.61	$731.30	$4,123.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,196.83 / $1,524.48 / $2,749.25	Professional		$1,196.83	$1,524.48	$2,749.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,776.25 / $2,131.65 / $2,817.55	Professional		$1,776.25	$2,131.65	$2,817.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.30 / $779.77 / $4,123.22	Facility		$731.30	$779.77	$4,123.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $2,417.25 / $3,262.98	Professional		$674.98	$2,417.25	$3,262.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.79 / $1,377.24 / $4,170.50	Professional		$1,218.79	$1,377.24	$4,170.50