Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.51 / $3,074.17 / $3,074.17	Professional		$590.51	$3,074.17	$3,074.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.53 / $2,059.52 / $2,735.81	Professional		$1,545.53	$2,059.52	$2,735.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.44 / $3,074.17 / $4,303.84	Facility		$604.44	$3,074.17	$4,303.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.90 / $1,892.28 / $3,841.50	Professional		$1,576.90	$1,892.28	$3,841.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,273.75 / $3,135.56 / $3,862.00	Professional		$2,273.75	$3,135.56	$3,862.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.44 / $3,074.17 / $4,303.84	Facility		$604.44	$3,074.17	$4,303.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.81 / $3,099.10 / $3,995.20	Professional		$940.81	$3,099.10	$3,995.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,643.63 / $3,295.24 / $3,624.76	Professional		$1,643.63	$3,295.24	$3,624.76