Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,594.17 / $10,900.00 / $14,552.94	Facility		$2,594.17	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.59 / $4,399.81 / $4,399.81	Professional		$838.59	$4,399.81	$4,399.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,216.03 / $2,987.48 / $3,871.21	Professional		$2,216.03	$2,987.48	$3,871.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $850.12 / $4,399.81 / $6,159.73	Facility		$850.12	$4,399.81	$6,159.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,211.69 / $2,654.04 / $5,387.95	Professional		$2,211.69	$2,654.04	$5,387.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,243.75 / $4,448.89 / $5,424.00	Professional		$3,243.75	$4,448.89	$5,424.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $850.12 / $4,399.81 / $6,159.73	Facility		$850.12	$4,399.81	$6,159.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,339.06 / $4,411.75 / $5,704.60	Professional		$1,339.06	$4,411.75	$5,704.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,374.17 / $4,779.96 / $5,257.96	Professional		$2,374.17	$4,779.96	$5,257.96