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 $483.61 / $1,601.10 / $2,715.54	Professional		$483.61	$1,601.10	$2,715.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.14 / $1,811.91 / $2,431.40	Professional		$1,364.14	$1,811.91	$2,431.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.77 / $2,715.54 / $3,801.76	Facility		$537.77	$2,715.54	$3,801.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.45 / $1,686.54 / $3,423.86	Professional		$1,405.45	$1,686.54	$3,423.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,998.75 / $2,772.64 / $3,442.00	Professional		$1,998.75	$2,772.64	$3,442.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.77 / $2,715.54 / $3,801.76	Facility		$537.77	$2,715.54	$3,801.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $832.92 / $2,740.40 / $3,535.40	Professional		$832.92	$2,740.40	$3,535.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,449.52 / $2,536.66 / $3,188.94	Professional		$1,449.52	$2,536.66	$3,188.94