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 $699.28 / $3,654.95 / $3,654.95	Professional		$699.28	$3,654.95	$3,654.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,839.20 / $2,451.26 / $3,241.76	Professional		$1,839.20	$2,451.26	$3,241.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.17 / $3,654.95 / $5,116.93	Facility		$718.17	$3,654.95	$5,116.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,872.85 / $2,247.42 / $4,562.52	Professional		$1,872.85	$2,247.42	$4,562.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,683.75 / $3,713.48 / $4,592.00	Professional		$2,683.75	$3,713.48	$4,592.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $718.17 / $3,654.95 / $5,116.93	Facility		$718.17	$3,654.95	$5,116.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,119.65 / $3,670.30 / $4,789.39	Professional		$1,119.65	$3,670.30	$4,789.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.02 / $3,431.79 / $4,314.24	Professional		$1,961.02	$3,431.79	$4,314.24