Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,935.33 / $7,340.00 / $13,413.92	Facility		$1,935.33	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.45 / $3,282.40 / $3,846.40	Professional		$611.45	$3,282.40	$3,846.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.83 / $2,315.86 / $3,410.27	Professional		$1,669.83	$2,315.86	$3,410.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $731.19 / $3,282.40 / $5,384.96	Facility		$731.19	$3,282.40	$5,384.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,639.98 / $2,356.11 / $4,734.60	Professional		$1,639.98	$2,356.11	$4,734.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,535.00 / $3,520.60 / $4,958.85	Professional		$2,535.00	$3,520.60	$4,958.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.19 / $3,282.40 / $5,384.96	Facility		$731.19	$3,282.40	$5,384.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,464.72 / $3,547.50 / $5,152.00	Professional		$1,464.72	$3,547.50	$5,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.32 / $3,249.05 / $4,738.10	Professional		$1,245.32	$3,249.05	$4,738.10