Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,559.38 / $1,559.38 / $1,559.38	Professional		$1,559.38	$1,559.38	$1,559.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.91 / $1,530.91 / $1,530.91	Professional		$1,530.91	$1,530.91	$1,530.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $1,559.38 / $2,183.13	Facility		$135.63	$1,559.38	$2,183.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.75 / $1,483.35 / $2,972.20	Professional		$1,278.75	$1,483.35	$2,972.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $1,559.38 / $2,183.13	Facility		$135.63	$1,559.38	$2,183.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $1,603.80 / $3,012.73	Professional		$162.77	$1,603.80	$3,012.73
United Facility/Professional Professional Modifier Low / Median / High Price $674.40 / $695.70 / $2,651.26	Professional		$674.40	$695.70	$2,651.26