Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,104.56 / $10,900.00 / $14,552.94	Facility		$2,104.56	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.46 / $3,569.43 / $3,569.43	Professional		$683.46	$3,569.43	$3,569.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,795.90 / $2,400.48 / $3,159.33	Professional		$1,795.90	$2,400.48	$3,159.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $698.45 / $3,569.43 / $4,997.20	Facility		$698.45	$3,569.43	$4,997.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.50 / $2,183.40 / $4,432.50	Professional		$1,819.50	$2,183.40	$4,432.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,645.00 / $3,637.80 / $4,458.00	Professional		$2,645.00	$3,637.80	$4,458.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.45 / $3,569.43 / $4,997.20	Facility		$698.45	$3,569.43	$4,997.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,091.22 / $3,595.50 / $4,642.00	Professional		$1,091.22	$3,595.50	$4,642.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,915.90 / $3,360.70 / $4,224.88	Professional		$1,915.90	$3,360.70	$4,224.88