Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.55 / $3,383.98 / $3,383.98	Professional		$649.55	$3,383.98	$3,383.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.11 / $2,271.75 / $3,004.79	Professional		$1,702.11	$2,271.75	$3,004.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.16 / $3,383.98 / $4,737.57	Facility		$663.16	$3,383.98	$4,737.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.93 / $2,074.71 / $4,211.85	Professional		$1,728.93	$2,074.71	$4,211.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,472.50 / $3,452.04 / $4,240.00	Professional		$2,472.50	$3,452.04	$4,240.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.16 / $3,383.98 / $4,737.57	Facility		$663.16	$3,383.98	$4,737.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,035.06 / $3,411.90 / $4,402.20	Professional		$1,035.06	$3,411.90	$4,402.20
United Facility/Professional Professional Modifier Low / Median / High Price $882.39 / $3,114.90 / $3,998.28	Professional		$882.39	$3,114.90	$3,998.28