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 $565.23 / $3,004.84 / $3,004.84	Professional		$565.23	$3,004.84	$3,004.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.50 / $2,073.13 / $2,636.84	Professional		$1,529.50	$2,073.13	$2,636.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $574.70 / $3,004.84 / $4,206.78	Facility		$574.70	$3,004.84	$4,206.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,495.23 / $1,794.27 / $3,642.53	Professional		$1,495.23	$1,794.27	$3,642.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.00 / $3,090.50 / $3,698.00	Professional		$2,290.00	$3,090.50	$3,698.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.70 / $3,004.84 / $4,206.78	Facility		$574.70	$3,004.84	$4,206.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $916.97 / $3,027.75 / $4,067.80	Professional		$916.97	$3,027.75	$4,067.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,576.62 / $2,842.55 / $3,648.70	Professional		$1,576.62	$2,842.55	$3,648.70