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 $666.75 / $2,121.27 / $3,597.74	Professional		$666.75	$2,121.27	$3,597.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,809.75 / $2,418.33 / $3,187.02	Professional		$1,809.75	$2,418.33	$3,187.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $704.80 / $3,597.74 / $5,036.84	Facility		$704.80	$3,597.74	$5,036.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,836.48 / $2,203.77 / $4,473.87	Professional		$1,836.48	$2,203.77	$4,473.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,666.25 / $3,667.04 / $4,502.00	Professional		$2,666.25	$3,667.04	$4,502.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.80 / $3,597.74 / $5,036.84	Facility		$704.80	$3,597.74	$5,036.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,100.85 / $3,624.40 / $4,683.80	Professional		$1,100.85	$3,624.40	$4,683.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,931.74 / $3,385.66 / $4,256.25	Professional		$1,931.74	$3,385.66	$4,256.25