Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.21 / $7,340.00 / $13,413.92	Facility		$1,637.21	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.82 / $2,527.02 / $3,144.61	Professional		$448.82	$2,527.02	$3,144.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.39 / $713.39 / $1,842.72	Professional		$713.39	$713.39	$1,842.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.51 / $701.85 / $4,496.79	Facility		$559.51	$701.85	$4,496.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.73 / $1,523.78 / $3,036.25	Professional		$1,112.73	$1,523.78	$3,036.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,645.00 / $2,168.75 / $2,974.50	Professional		$1,645.00	$2,168.75	$2,974.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $678.43 / $869.68 / $4,496.79	Facility		$678.43	$869.68	$4,496.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $625.10 / $2,186.25 / $3,021.05	Professional		$625.10	$2,186.25	$3,021.05
United Facility/Professional Professional Modifier Low / Median / High Price $699.86 / $1,474.18 / $4,464.05	Professional		$699.86	$1,474.18	$4,464.05