Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.55 / $2,426.63 / $2,426.63	Professional		$468.55	$2,426.63	$2,426.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.38 / $1,611.49 / $2,182.75	Professional		$1,216.38	$1,611.49	$2,182.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.96 / $2,426.63 / $3,397.28	Facility		$480.96	$2,426.63	$3,397.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.28 / $1,509.93 / $3,065.32	Professional		$1,258.28	$1,509.93	$3,065.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,790.00 / $2,469.25 / $3,082.00	Professional		$1,790.00	$2,469.25	$3,082.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.96 / $2,426.63 / $3,397.28	Facility		$480.96	$2,426.63	$3,397.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.40 / $2,444.60 / $3,143.80	Professional		$743.40	$2,444.60	$3,143.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.18 / $2,578.36 / $2,836.20	Professional		$1,289.18	$2,578.36	$2,836.20