Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.19 / $2,844.46 / $2,844.46	Professional		$527.19	$2,844.46	$2,844.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.83 / $1,804.45 / $2,556.64	Professional		$1,368.83	$1,804.45	$2,556.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $564.48 / $2,844.46 / $3,982.24	Facility		$564.48	$2,844.46	$3,982.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,476.63 / $1,771.95 / $3,597.22	Professional		$1,476.63	$1,771.95	$3,597.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,985.00 / $2,750.28 / $3,480.40	Professional		$1,985.00	$2,750.28	$3,480.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $564.48 / $2,844.46 / $3,982.24	Facility		$564.48	$2,844.46	$3,982.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.68 / $2,718.30 / $3,480.40	Professional		$872.68	$2,718.30	$3,480.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.56 / $2,177.76 / $3,175.83	Professional		$1,443.56	$2,177.76	$3,175.83