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 $845.20 / $4,410.35 / $4,410.35	Professional		$845.20	$4,410.35	$4,410.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,221.76 / $2,970.19 / $3,897.07	Professional		$2,221.76	$2,970.19	$3,897.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $861.22 / $4,410.35 / $6,174.49	Facility		$861.22	$4,410.35	$6,174.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,242.42 / $2,690.91 / $5,462.81	Professional		$2,242.42	$2,690.91	$5,462.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,263.75 / $4,497.80 / $5,502.00	Professional		$3,263.75	$4,497.80	$5,502.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $861.22 / $4,410.35 / $6,174.49	Facility		$861.22	$4,410.35	$6,174.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.61 / $4,445.50 / $5,731.00	Professional		$1,348.61	$4,445.50	$5,731.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,368.16 / $4,752.32 / $5,227.55	Professional		$2,368.16	$4,752.32	$5,227.55