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 $796.89 / $4,129.18 / $4,129.18	Professional		$796.89	$4,129.18	$4,129.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,073.75 / $2,784.17 / $3,717.51	Professional		$2,073.75	$2,784.17	$3,717.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $802.08 / $4,129.18 / $5,780.85	Facility		$802.08	$4,129.18	$5,780.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,210.88 / $2,653.05 / $5,385.98	Professional		$2,210.88	$2,653.05	$5,385.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,100.00 / $4,308.50 / $5,344.00	Professional		$3,100.00	$4,308.50	$5,344.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $845.72 / $4,129.18 / $5,780.85	Facility		$845.72	$4,129.18	$5,780.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.82 / $4,273.80 / $5,733.20	Professional		$1,272.82	$4,273.80	$5,733.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,227.34 / $3,897.85 / $4,900.14	Professional		$2,227.34	$3,897.85	$4,900.14