Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.54 / $3,951.24 / $3,951.24	Professional		$727.54	$3,951.24	$3,951.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,004.93 / $2,798.25 / $3,368.33	Professional		$2,004.93	$2,798.25	$3,368.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $753.74 / $3,951.24 / $5,531.74	Facility		$753.74	$3,951.24	$5,531.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.50 / $2,340.60 / $4,751.64	Professional		$1,950.50	$2,340.60	$4,751.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,015.00 / $4,032.00 / $5,322.00	Professional		$3,015.00	$4,032.00	$5,322.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $753.74 / $3,951.24 / $5,531.74	Facility		$753.74	$3,951.24	$5,531.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,214.09 / $3,856.05 / $5,812.40	Professional		$1,214.09	$3,856.05	$5,812.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.60 / $3,917.55 / $4,924.92	Professional		$2,238.60	$3,917.55	$4,924.92