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 $465.20 / $2,409.92 / $2,409.92	Professional		$465.20	$2,409.92	$2,409.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.48 / $1,602.94 / $2,165.27	Professional		$1,208.48	$1,602.94	$2,165.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.09 / $2,409.92 / $3,373.90	Facility		$477.09	$2,409.92	$3,373.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.78 / $1,497.33 / $3,039.71	Professional		$1,247.78	$1,497.33	$3,039.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,757.50 / $2,453.50 / $3,056.00	Professional		$1,757.50	$2,453.50	$3,056.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.09 / $2,409.92 / $3,373.90	Facility		$477.09	$2,409.92	$3,373.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $737.95 / $2,431.00 / $3,119.60	Professional		$737.95	$2,431.00	$3,119.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.35 / $2,244.13 / $2,821.19	Professional		$1,282.35	$2,244.13	$2,821.19