Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.97 / $9,577.00 / $14,552.94	Facility		$1,728.97	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,506.60 / $2,574.19 / $3,320.84	Professional		$2,506.60	$2,574.19	$3,320.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.47 / $580.47 / $1,942.27	Professional		$580.47	$580.47	$1,942.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $558.25 / $744.61 / $4,748.80	Facility		$558.25	$744.61	$4,748.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.30 / $1,537.64 / $3,167.33	Professional		$1,110.30	$1,537.64	$3,167.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,637.50 / $2,303.75 / $3,122.90	Professional		$1,637.50	$2,303.75	$3,122.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.09 / $929.49 / $4,748.80	Facility		$679.09	$929.49	$4,748.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.47 / $2,255.90 / $3,191.25	Professional		$580.47	$2,255.90	$3,191.25
United Facility/Professional Professional Modifier Low / Median / High Price $722.67 / $1,553.82 / $4,705.22	Professional		$722.67	$1,553.82	$4,705.22