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 $685.84 / $3,579.47 / $3,579.47	Professional		$685.84	$3,579.47	$3,579.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,800.41 / $2,406.59 / $3,171.30	Professional		$1,800.41	$2,406.59	$3,171.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $701.06 / $3,579.47 / $5,011.26	Facility		$701.06	$3,579.47	$5,011.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,826.78 / $2,192.13 / $4,450.22	Professional		$1,826.78	$2,192.13	$4,450.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,646.25 / $3,649.84 / $4,478.00	Professional		$2,646.25	$3,649.84	$4,478.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.06 / $3,579.47 / $5,011.26	Facility		$701.06	$3,579.47	$5,011.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,095.06 / $3,607.40 / $4,659.60	Professional		$1,095.06	$3,607.40	$4,659.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,921.52 / $3,369.24 / $4,235.62	Professional		$1,921.52	$3,369.24	$4,235.62