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 $801.95 / $4,192.68 / $4,192.68	Professional		$801.95	$4,192.68	$4,192.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,112.71 / $2,829.39 / $3,699.05	Professional		$2,112.71	$2,829.39	$3,699.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $817.46 / $4,192.68 / $5,869.77	Facility		$817.46	$4,192.68	$5,869.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,127.60 / $2,553.12 / $5,183.07	Professional		$2,127.60	$2,553.12	$5,183.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,083.75 / $4,236.75 / $5,220.00	Professional		$3,083.75	$4,236.75	$5,220.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.46 / $4,192.68 / $5,869.77	Facility		$817.46	$4,192.68	$5,869.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,281.70 / $4,229.60 / $5,469.20	Professional		$1,281.70	$4,229.60	$5,469.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.85 / $3,414.76 / $4,979.74	Professional		$1,098.85	$3,414.76	$4,979.74