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 $669.10 / $3,442.70 / $3,442.70	Professional		$669.10	$3,442.70	$3,442.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.63 / $2,333.73 / $3,084.22	Professional		$1,752.63	$2,333.73	$3,084.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $669.60 / $3,442.70 / $4,819.78	Facility		$669.60	$3,442.70	$4,819.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,749.95 / $2,099.94 / $4,263.08	Professional		$1,749.95	$2,099.94	$4,263.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,572.50 / $3,529.20 / $4,284.00	Professional		$2,572.50	$3,529.20	$4,284.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.60 / $3,442.70 / $4,819.78	Facility		$669.60	$3,442.70	$4,819.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,040.71 / $3,312.75 / $4,551.80	Professional		$1,040.71	$3,312.75	$4,551.80
United Facility/Professional Professional Modifier Low / Median / High Price $886.37 / $3,199.87 / $4,107.35	Professional		$886.37	$3,199.87	$4,107.35