Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.86 / $2,137.86 / $2,535.57	Facility		$2,137.86	$2,137.86	$2,535.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.16 / $3,625.89 / $4,300.39	Professional		$657.16	$3,625.89	$4,300.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,855.38 / $2,585.92 / $3,702.18	Professional		$1,855.38	$2,585.92	$3,702.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $795.84 / $3,625.89 / $6,020.56	Facility		$795.84	$3,625.89	$6,020.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.70 / $2,593.86 / $5,212.35	Professional		$1,746.70	$2,593.86	$5,212.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,700.00 / $3,875.85 / $5,510.70	Professional		$2,700.00	$3,875.85	$5,510.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $795.84 / $3,655.34 / $6,020.56	Facility		$795.84	$3,655.34	$6,020.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,612.96 / $3,883.50 / $5,818.00	Professional		$1,612.96	$3,883.50	$5,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,419.78 / $4,234.62 / $5,323.52	Professional		$2,419.78	$4,234.62	$5,323.52