Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,000.00 / $16,982.44	Facility		$2,344.23	$10,000.00	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $4,466.84	Professional		$870.96	$1,202.26	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $2,570.40	Professional		$812.83	$812.83	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $977.24 / $4,466.84	Facility		$891.25	$977.24	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $4,466.84	Professional		$1,778.28	$2,137.96	$4,466.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $4,466.84	Professional		$2,691.53	$3,311.31	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,000.00 / $6,309.57	Facility		$891.25	$1,000.00	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $724.44 / $2,570.40	Professional		$60.26	$724.44	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,995.26 / $6,165.95	Professional		$870.96	$1,995.26	$6,165.95