Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.66 / $3,201.75 / $3,201.75	Professional		$625.66	$3,201.75	$3,201.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,609.08 / $2,088.73 / $2,921.05	Professional		$1,609.08	$2,088.73	$2,921.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.66 / $3,201.75 / $4,482.45	Facility		$625.66	$3,201.75	$4,482.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.58 / $1,969.89 / $3,999.10	Professional		$1,641.58	$1,969.89	$3,999.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,360.00 / $3,223.28 / $4,048.00	Professional		$2,360.00	$3,223.28	$4,048.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.66 / $3,201.75 / $4,482.45	Facility		$625.66	$3,201.75	$4,482.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $969.04 / $3,185.80 / $4,288.95	Professional		$969.04	$3,185.80	$4,288.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,670.12 / $2,863.98 / $3,676.20	Professional		$1,670.12	$2,863.98	$3,676.20