Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.94 / $6,541.00 / $13,413.92	Facility		$1,642.94	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.50 / $2,638.66 / $2,786.47	Professional		$509.50	$2,638.66	$2,786.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.47 / $1,741.80 / $2,530.63	Professional		$1,317.47	$1,741.80	$2,530.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $540.04 / $2,638.66 / $3,901.06	Facility		$540.04	$2,638.66	$3,901.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.35 / $1,751.55 / $3,519.75	Professional		$1,376.35	$1,751.55	$3,519.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,009.80 / $2,793.00 / $3,368.00	Professional		$2,009.80	$2,793.00	$3,368.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.04 / $2,638.66 / $3,901.06	Facility		$540.04	$2,638.66	$3,901.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,109.76 / $2,653.00 / $3,401.20	Professional		$1,109.76	$2,653.00	$3,401.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,466.88 / $2,567.04 / $3,227.14	Professional		$1,466.88	$2,567.04	$3,227.14