Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,493.25 / $13,413.92 / $20,143.00	Facility		$2,493.25	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.03 / $4,228.64 / $4,228.64	Professional		$789.03	$4,228.64	$4,228.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.14 / $2,885.71 / $3,654.40	Professional		$2,137.14	$2,885.71	$3,654.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $797.44 / $4,228.64 / $5,920.10	Facility		$797.44	$4,228.64	$5,920.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.55 / $2,482.26 / $5,039.26	Professional		$2,068.55	$2,482.26	$5,039.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,180.00 / $4,244.96 / $5,188.00	Professional		$3,180.00	$4,244.96	$5,188.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $797.44 / $4,228.64 / $5,920.10	Facility		$797.44	$4,228.64	$5,920.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,285.32 / $4,182.75 / $5,585.80	Professional		$1,285.32	$4,182.75	$5,585.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,308.56 / $4,039.98 / $5,078.83	Professional		$2,308.56	$4,039.98	$5,078.83