Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $10,964.78 / $16,595.87	Facility		$2,691.53	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,691.53	Professional		$776.25	$1,122.02	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,715.35	Professional		$2,089.30	$2,754.23	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $5,754.40	Facility		$794.33	$1,174.90	$5,754.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $5,370.32	Professional		$2,454.71	$3,388.44	$5,370.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,890.45 / $5,370.32	Professional		$2,691.53	$3,890.45	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $4,466.84	Facility		$954.99	$1,230.27	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,174.90 / $2,754.23	Professional		$60.26	$1,174.90	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,311.31 / $4,786.30	Professional		$1,047.13	$3,311.31	$4,786.30