Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.04 / $4,536.00 / $9,536.42	Facility		$1,283.04	$4,536.00	$9,536.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.80 / $1,296.00 / $7,438.76	Professional		$796.80	$1,296.00	$7,438.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,853.28 / $1,853.28 / $1,853.28	Facility		$1,853.28	$1,853.28	$1,853.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,445.87 / $2,445.87 / $3,494.10	Professional		$2,445.87	$2,445.87	$3,494.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,724.40 / $2,520.00 / $3,960.00	Facility		$1,724.40	$2,520.00	$3,960.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,618.06 / $5,260.08 / $12,398.76	Facility		$1,618.06	$5,260.08	$12,398.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $3,494.10	Professional		$816.00	$816.00	$3,494.10
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,200.00 / $1,613.76	Professional		$800.00	$1,200.00	$1,613.76