Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.23 / $3,720.22 / $3,720.22	Professional		$702.23	$3,720.22	$3,720.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,893.59 / $2,445.65 / $3,180.62	Professional		$1,893.59	$2,445.65	$3,180.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.01 / $3,720.22 / $5,208.31	Facility		$707.01	$3,720.22	$5,208.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,824.35 / $2,189.21 / $4,444.32	Professional		$1,824.35	$2,189.21	$4,444.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,567.50 / $3,507.10 / $4,486.00	Professional		$2,567.50	$3,507.10	$4,486.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.01 / $3,720.22 / $5,208.31	Facility		$707.01	$3,720.22	$5,208.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,133.75 / $3,289.86 / $4,518.80	Professional		$1,133.75	$3,289.86	$4,518.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,950.28 / $3,913.04 / $4,304.34	Professional		$1,950.28	$3,913.04	$4,304.34