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 $418.17 / $2,179.31 / $2,179.31	Professional		$418.17	$2,179.31	$2,179.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.21 / $1,456.17 / $1,950.21	Professional		$1,094.21	$1,456.17	$1,950.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.34 / $2,179.31 / $3,051.03	Facility		$430.34	$2,179.31	$3,051.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.84 / $1,349.82 / $2,740.27	Professional		$1,124.84	$1,349.82	$2,740.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.50 / $2,223.96 / $2,756.00	Professional		$1,612.50	$2,223.96	$2,756.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.34 / $2,179.31 / $3,051.03	Facility		$430.34	$2,179.31	$3,051.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $668.52 / $2,198.10 / $2,840.20	Professional		$668.52	$2,198.10	$2,840.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,164.94 / $2,329.88 / $2,562.87	Professional		$1,164.94	$2,329.88	$2,562.87