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 $942.88 / $4,921.63 / $4,921.63	Professional		$942.88	$4,921.63	$4,921.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,477.16 / $3,310.47 / $4,350.12	Professional		$2,477.16	$3,310.47	$4,350.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $960.85 / $4,921.63 / $6,890.28	Facility		$960.85	$4,921.63	$6,890.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,502.00 / $3,002.40 / $6,095.18	Professional		$2,502.00	$3,002.40	$6,095.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,636.25 / $5,013.80 / $6,134.00	Professional		$3,636.25	$5,013.80	$6,134.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $960.85 / $4,921.63 / $6,890.28	Facility		$960.85	$4,921.63	$6,890.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,503.89 / $4,955.50 / $6,375.60	Professional		$1,503.89	$4,955.50	$6,375.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,635.56 / $4,634.67 / $5,826.44	Professional		$2,635.56	$4,634.67	$5,826.44