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 $855.08 / $4,465.43 / $4,465.43	Professional		$855.08	$4,465.43	$4,465.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,249.39 / $3,007.42 / $3,941.87	Professional		$2,249.39	$3,007.42	$3,941.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.80 / $4,465.43 / $6,251.60	Facility		$870.80	$4,465.43	$6,251.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,266.67 / $2,720.01 / $5,521.91	Professional		$2,266.67	$2,720.01	$5,521.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,281.25 / $4,549.39 / $5,562.00	Professional		$3,281.25	$4,549.39	$5,562.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.80 / $4,465.43 / $6,251.60	Facility		$870.80	$4,465.43	$6,251.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,364.77 / $4,496.50 / $5,797.00	Professional		$1,364.77	$4,496.50	$5,797.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $4,210.39 / $5,293.07	Professional		$2,398.00	$4,210.39	$5,293.07