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 $551.34 / $2,756.65 / $3,273.30	Professional		$551.34	$2,756.65	$3,273.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.03 / $1,797.70 / $3,093.18	Professional		$1,412.03	$1,797.70	$3,093.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.26 / $2,756.65 / $4,582.62	Facility		$542.26	$2,756.65	$4,582.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.95 / $2,064.98 / $4,149.60	Professional		$1,432.95	$2,064.98	$4,149.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,156.00 / $3,109.75 / $4,038.30	Professional		$2,156.00	$3,109.75	$4,038.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $649.01 / $2,782.31 / $4,582.62	Facility		$649.01	$2,782.31	$4,582.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,217.25 / $3,002.55 / $4,173.00	Professional		$1,217.25	$3,002.55	$4,173.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,962.56 / $2,962.56 / $2,962.56	Facility		$2,962.56	$2,962.56	$2,962.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.40 / $2,559.19 / $3,732.08	Professional		$1,696.40	$2,559.19	$3,732.08