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 $484.24 / $1,768.40 / $2,999.26	Professional		$484.24	$1,768.40	$2,999.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.72 / $2,005.89 / $2,675.30	Professional		$1,506.72	$2,005.89	$2,675.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.74 / $2,999.26 / $4,198.96	Facility		$590.74	$2,999.26	$4,198.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.13 / $1,850.55 / $3,756.79	Professional		$1,542.13	$1,850.55	$3,756.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,218.75 / $2,840.00 / $3,778.00	Professional		$2,218.75	$2,840.00	$3,778.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.74 / $2,999.26 / $4,198.96	Facility		$590.74	$2,999.26	$4,198.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $918.16 / $2,748.90 / $3,898.40	Professional		$918.16	$2,748.90	$3,898.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,604.72 / $2,750.38 / $3,530.38	Professional		$1,604.72	$2,750.38	$3,530.38