Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.85 / $3,834.81 / $3,928.27	Professional		$709.85	$3,834.81	$3,928.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,355.52 / $1,355.52 / $2,466.60	Professional		$1,355.52	$1,355.52	$2,466.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,834.81 / $5,368.73 / $5,483.78	Facility		$3,834.81	$5,368.73	$5,483.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,764.18 / $2,101.33 / $2,352.23	Professional		$1,764.18	$2,101.33	$2,352.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,809.60 / $3,240.00 / $3,514.80	Professional		$1,809.60	$3,240.00	$3,514.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,834.81 / $5,368.73 / $5,483.78	Facility		$3,834.81	$5,368.73	$5,483.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,075.88 / $2,418.73 / $5,177.81	Professional		$1,075.88	$2,418.73	$5,177.81
United Facility/Professional Professional Modifier Low / Median / High Price $823.45 / $1,973.28 / $2,976.90	Professional		$823.45	$1,973.28	$2,976.90