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 $687.72 / $3,589.65 / $3,589.65	Professional		$687.72	$3,589.65	$3,589.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,806.02 / $2,413.26 / $3,180.04	Professional		$1,806.02	$2,413.26	$3,180.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.63 / $3,589.65 / $5,025.51	Facility		$702.63	$3,589.65	$5,025.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,830.80 / $2,196.96 / $4,460.08	Professional		$1,830.80	$2,196.96	$4,460.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,628.75 / $3,660.16 / $4,490.00	Professional		$2,628.75	$3,660.16	$4,490.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.63 / $3,589.65 / $5,025.51	Facility		$702.63	$3,589.65	$5,025.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,097.95 / $3,617.60 / $4,672.80	Professional		$1,097.95	$3,617.60	$4,672.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,926.88 / $3,861.20 / $4,247.32	Professional		$1,926.88	$3,861.20	$4,247.32