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 $644.86 / $3,416.01 / $3,416.01	Professional		$644.86	$3,416.01	$3,416.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.47 / $2,246.51 / $2,920.70	Professional		$1,737.47	$2,246.51	$2,920.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.42 / $3,416.01 / $4,782.41	Facility		$648.42	$3,416.01	$4,782.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.13 / $2,007.75 / $4,075.93	Professional		$1,673.13	$2,007.75	$4,075.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,355.00 / $3,223.20 / $4,114.00	Professional		$2,355.00	$3,223.20	$4,114.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.42 / $3,416.01 / $4,782.41	Facility		$648.42	$3,416.01	$4,782.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $3,020.85 / $4,144.80	Professional		$1,040.02	$3,020.85	$4,144.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,789.36 / $3,145.10 / $3,953.84	Professional		$1,789.36	$3,145.10	$3,953.84