Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,013.47 / $10,900.00 / $14,552.94	Facility		$2,013.47	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.37 / $3,414.91 / $3,414.91	Professional		$655.37	$3,414.91	$3,414.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,718.93 / $2,294.81 / $3,027.18	Professional		$1,718.93	$2,294.81	$3,027.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $668.70 / $3,414.91 / $4,780.87	Facility		$668.70	$3,414.91	$4,780.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.68 / $2,091.21 / $4,245.35	Professional		$1,742.68	$2,091.21	$4,245.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.25 / $3,442.50 / $4,276.00	Professional		$2,511.25	$3,442.50	$4,276.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.70 / $3,414.91 / $4,780.87	Facility		$668.70	$3,414.91	$4,780.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,044.83 / $3,256.75 / $4,439.60	Professional		$1,044.83	$3,256.75	$4,439.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,830.26 / $3,212.72 / $4,038.85	Professional		$1,830.26	$3,212.72	$4,038.85