Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,185.82 / $2,241.07 / $2,241.07	Professional		$2,185.82	$2,241.07	$2,241.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.92 / $1,336.92 / $1,336.92	Professional		$1,336.92	$1,336.92	$1,336.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $498.56 / $607.03 / $3,204.73	Facility		$498.56	$607.03	$3,204.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $990.60 / $1,188.72 / $2,824.17	Professional		$990.60	$1,188.72	$2,824.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,467.50 / $1,656.45 / $2,241.75	Professional		$1,467.50	$1,656.45	$2,241.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.03 / $607.03 / $3,204.73	Facility		$607.03	$607.03	$3,204.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $1,925.55 / $2,648.25	Professional		$481.00	$1,925.55	$2,648.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,665.92 / $4,665.92 / $4,665.92	Facility		$4,665.92	$4,665.92	$4,665.92
United Facility/Professional Professional Modifier Low / Median / High Price $488.68 / $1,069.54 / $3,238.74	Professional		$488.68	$1,069.54	$3,238.74