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 $555.71 / $2,888.73 / $2,888.73	Professional		$555.71	$2,888.73	$2,888.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.19 / $1,927.98 / $2,581.27	Professional		$1,450.19	$1,927.98	$2,581.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $569.74 / $2,888.73 / $4,044.22	Facility		$569.74	$2,888.73	$4,044.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.95 / $1,785.54 / $3,624.80	Professional		$1,487.95	$1,785.54	$3,624.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,117.50 / $2,912.00 / $3,646.00	Professional		$2,117.50	$2,912.00	$3,646.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.74 / $2,888.73 / $4,044.22	Facility		$569.74	$2,888.73	$4,044.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $884.69 / $2,908.70 / $3,751.00	Professional		$884.69	$2,908.70	$3,751.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,542.38 / $3,084.76 / $3,393.24	Professional		$1,542.38	$3,084.76	$3,393.24