Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $11,748.98	Facility		$4,073.80	$7,413.10	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $3,162.28	Professional		$776.25	$891.25	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,162.28 / $6,760.83	Facility		$954.99	$3,162.28	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,818.38 / $3,090.30	Professional		$776.25	$2,818.38	$3,090.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,548.13 / $3,801.89	Facility		$3,311.31	$3,548.13	$3,801.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,630.27 / $4,570.88	Facility		$758.58	$2,630.27	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $851.14 / $954.99	Professional		$60.26	$851.14	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,905.46 / $2,884.03	Professional		$575.44	$1,905.46	$2,884.03