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 $695.65 / $3,645.68 / $3,645.68	Professional		$695.65	$3,645.68	$3,645.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,834.35 / $2,472.64 / $3,224.58	Professional		$1,834.35	$2,472.64	$3,224.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $709.22 / $3,645.68 / $5,103.95	Facility		$709.22	$3,645.68	$5,103.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.80 / $2,217.36 / $4,501.45	Professional		$1,847.80	$2,217.36	$4,501.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,702.50 / $3,741.00 / $4,522.00	Professional		$2,702.50	$3,741.00	$4,522.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.22 / $3,645.68 / $5,103.95	Facility		$709.22	$3,645.68	$5,103.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,110.97 / $3,697.50 / $4,765.20	Professional		$1,110.97	$3,697.50	$4,765.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,973.40 / $3,956.24 / $4,351.85	Professional		$1,973.40	$3,956.24	$4,351.85