Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.55 / $2,113.90 / $3,333.76	Professional		$433.55	$2,113.90	$3,333.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.80 / $1,740.40 / $3,266.57	Professional		$1,074.80	$1,740.40	$3,266.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.55 / $2,113.90 / $4,667.26	Facility		$433.55	$2,113.90	$4,667.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.93 / $2,008.72 / $4,182.75	Professional		$1,094.93	$2,008.72	$4,182.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,692.50 / $2,458.75 / $3,988.25	Professional		$1,692.50	$2,458.75	$3,988.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.32 / $2,325.29 / $4,667.26	Facility		$641.32	$2,325.29	$4,667.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $960.44 / $2,249.10 / $3,843.00	Professional		$960.44	$2,249.10	$3,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.59 / $2,537.78 / $3,700.84	Professional		$878.59	$2,537.78	$3,700.84