Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,590.55 / $10,625.00 / $22,888.00	Facility		$2,590.55	$10,625.00	$22,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.55 / $4,393.64 / $4,393.64	Professional		$841.55	$4,393.64	$4,393.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.11 / $2,958.43 / $3,879.59	Professional		$2,213.11	$2,958.43	$3,879.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $857.04 / $4,393.64 / $6,151.11	Facility		$857.04	$4,393.64	$6,151.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,231.10 / $2,677.32 / $5,435.23	Professional		$2,231.10	$2,677.32	$5,435.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,242.50 / $4,455.50 / $5,476.00	Professional		$3,242.50	$4,455.50	$5,476.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $857.04 / $4,393.64 / $6,151.11	Facility		$857.04	$4,393.64	$6,151.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,343.16 / $4,425.10 / $5,704.60	Professional		$1,343.16	$4,425.10	$5,704.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,358.78 / $4,056.43 / $5,206.83	Professional		$2,358.78	$4,056.43	$5,206.83