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 $701.60 / $3,718.26 / $3,718.26	Professional		$701.60	$3,718.26	$3,718.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,892.60 / $2,444.30 / $3,179.17	Professional		$1,892.60	$2,444.30	$3,179.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $706.39 / $3,718.26 / $5,205.56	Facility		$706.39	$3,718.26	$5,205.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,822.73 / $2,187.27 / $4,440.38	Professional		$1,822.73	$2,187.27	$4,440.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,566.25 / $3,505.40 / $4,482.00	Professional		$2,566.25	$3,505.40	$4,482.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $706.39 / $3,718.26 / $5,205.56	Facility		$706.39	$3,718.26	$5,205.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,132.72 / $3,288.39 / $4,516.60	Professional		$1,132.72	$3,288.39	$4,516.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.20 / $3,422.02 / $4,301.97	Professional		$1,949.20	$3,422.02	$4,301.97