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 $830.20 / $4,319.85 / $4,319.85	Professional		$830.20	$4,319.85	$4,319.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,179.78 / $2,925.35 / $3,795.47	Professional		$2,179.78	$2,925.35	$3,795.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $830.20 / $4,319.85 / $6,047.80	Facility		$830.20	$4,319.85	$6,047.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,113.85 / $2,536.62 / $5,149.58	Professional		$2,113.85	$2,536.62	$5,149.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,178.75 / $4,411.80 / $5,192.00	Professional		$3,178.75	$4,411.80	$5,192.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $830.20 / $4,319.85 / $6,047.80	Facility		$830.20	$4,319.85	$6,047.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.33 / $4,360.50 / $5,610.00	Professional		$1,272.33	$4,360.50	$5,610.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,329.30 / $4,095.49 / $5,148.62	Professional		$2,329.30	$4,095.49	$5,148.62