Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,250.75 / $9,813.00 / $14,552.94	Facility		$2,250.75	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.37 / $3,817.36 / $3,817.36	Professional		$731.37	$3,817.36	$3,817.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,921.45 / $2,569.60 / $3,377.15	Professional		$1,921.45	$2,569.60	$3,377.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.82 / $3,817.36 / $5,344.30	Facility		$747.82	$3,817.36	$5,344.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,948.08 / $2,337.69 / $4,745.72	Professional		$1,948.08	$2,337.69	$4,745.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,811.25 / $3,895.80 / $4,772.00	Professional		$2,811.25	$3,895.80	$4,772.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.82 / $3,817.36 / $5,344.30	Facility		$747.82	$3,817.36	$5,344.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,168.32 / $3,850.50 / $4,967.60	Professional		$1,168.32	$3,850.50	$4,967.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,050.08 / $3,597.44 / $4,522.50	Professional		$2,050.08	$3,597.44	$4,522.50