Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,674.66 / $2,781.75 / $2,781.75	Professional		$2,674.66	$2,781.75	$2,781.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.47 / $670.47 / $1,663.29	Professional		$670.47	$670.47	$1,663.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.45 / $737.44 / $3,977.90	Facility		$612.45	$737.44	$3,977.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.80 / $1,456.56 / $3,508.82	Professional		$1,213.80	$1,456.56	$3,508.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,805.00 / $2,026.35 / $2,746.83	Professional		$1,805.00	$2,026.35	$2,746.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $737.44 / $737.44 / $3,977.90	Facility		$737.44	$737.44	$3,977.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $583.00 / $2,364.44 / $3,260.25	Professional		$583.00	$2,364.44	$3,260.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,330.64 / $1,330.64 / $4,029.39	Professional		$1,330.64	$1,330.64	$4,029.39