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 $713.73 / $3,722.75 / $3,722.75	Professional		$713.73	$3,722.75	$3,722.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,874.58 / $2,504.79 / $3,295.93	Professional		$1,874.58	$2,504.79	$3,295.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.78 / $3,722.75 / $5,211.85	Facility		$728.78	$3,722.75	$5,211.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,898.75 / $2,278.50 / $4,625.56	Professional		$1,898.75	$2,278.50	$4,625.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,725.00 / $3,778.25 / $4,656.00	Professional		$2,725.00	$3,778.25	$4,656.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.78 / $3,722.75 / $5,211.85	Facility		$728.78	$3,722.75	$5,211.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,139.09 / $3,753.60 / $4,853.20	Professional		$1,139.09	$3,753.60	$4,853.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,001.48 / $3,506.72 / $4,408.45	Professional		$2,001.48	$3,506.72	$4,408.45