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 $490.45 / $2,465.16 / $2,465.16	Professional		$490.45	$2,465.16	$2,465.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.32 / $1,625.13 / $2,278.46	Professional		$1,231.32	$1,625.13	$2,278.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.45 / $2,465.16 / $3,451.22	Facility		$490.45	$2,465.16	$3,451.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.16 / $1,601.16 / $3,250.50	Professional		$1,328.16	$1,601.16	$3,250.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,846.25 / $2,481.40 / $3,270.00	Professional		$1,846.25	$2,481.40	$3,270.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.45 / $2,465.16 / $3,451.22	Facility		$490.45	$2,465.16	$3,451.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $756.19 / $2,363.19 / $3,337.40	Professional		$756.19	$2,363.19	$3,337.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.09 / $2,275.17 / $2,860.22	Professional		$1,300.09	$2,275.17	$2,860.22