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 $918.88 / $4,813.56 / $4,813.56	Professional		$918.88	$4,813.56	$4,813.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,451.85 / $3,330.49 / $4,109.72	Professional		$2,451.85	$3,330.49	$4,109.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $921.66 / $4,813.56 / $6,738.98	Facility		$921.66	$4,813.56	$6,738.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,374.23 / $2,849.07 / $5,783.92	Professional		$2,374.23	$2,849.07	$5,783.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,550.00 / $4,887.50 / $5,840.00	Professional		$3,550.00	$4,887.50	$5,840.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $921.66 / $4,813.56 / $6,738.98	Facility		$921.66	$4,813.56	$6,738.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,467.32 / $4,806.45 / $6,305.20	Professional		$1,467.32	$4,806.45	$6,305.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,664.40 / $4,019.53 / $5,462.02	Professional		$2,664.40	$4,019.53	$5,462.02