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 $581.83 / $3,296.08 / $3,296.08	Professional		$581.83	$3,296.08	$3,296.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.51 / $491.51 / $1,968.36	Professional		$491.51	$491.51	$1,968.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.26 / $884.29 / $4,713.39	Facility		$730.26	$884.29	$4,713.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.93 / $1,739.91 / $4,160.99	Professional		$1,449.93	$1,739.91	$4,160.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,146.25 / $2,420.55 / $3,281.19	Professional		$2,146.25	$2,420.55	$3,281.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $884.29 / $884.29 / $4,713.39	Facility		$884.29	$884.29	$4,713.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.90 / $2,816.55 / $3,876.75	Professional		$570.90	$2,816.55	$3,876.75
United Facility/Professional Professional Modifier Low / Median / High Price $681.29 / $1,585.64 / $4,768.43	Professional		$681.29	$1,585.64	$4,768.43