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 $801.76 / $4,192.83 / $4,192.83	Professional		$801.76	$4,192.83	$4,192.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,113.00 / $2,830.38 / $3,695.83	Professional		$2,113.00	$2,830.38	$3,695.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $816.73 / $4,192.83 / $5,869.96	Facility		$816.73	$4,192.83	$5,869.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,125.17 / $2,550.21 / $5,177.16	Professional		$2,125.17	$2,550.21	$5,177.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,100.00 / $4,277.64 / $5,218.00	Professional		$3,100.00	$4,277.64	$5,218.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $816.73 / $4,192.83 / $5,869.96	Facility		$816.73	$4,192.83	$5,869.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,281.84 / $4,227.89 / $5,467.00	Professional		$1,281.84	$4,227.89	$5,467.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.80 / $3,415.93 / $4,981.46	Professional		$1,119.80	$3,415.93	$4,981.46