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 $727.42 / $3,800.15 / $3,800.15	Professional		$727.42	$3,800.15	$3,800.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,913.55 / $2,559.86 / $3,360.20	Professional		$1,913.55	$2,559.86	$3,360.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $743.05 / $3,800.15 / $5,320.21	Facility		$743.05	$3,800.15	$5,320.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.13 / $2,322.15 / $4,714.21	Professional		$1,935.13	$2,322.15	$4,714.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,787.50 / $3,878.60 / $4,742.00	Professional		$2,787.50	$3,878.60	$4,742.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.05 / $3,800.15 / $5,320.21	Facility		$743.05	$3,800.15	$5,320.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,162.02 / $3,833.50 / $4,950.00	Professional		$1,162.02	$3,833.50	$4,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,043.92 / $3,583.79 / $4,505.34	Professional		$2,043.92	$3,583.79	$4,505.34