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 $573.80 / $2,985.04 / $2,985.04	Professional		$573.80	$2,985.04	$2,985.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,501.22 / $1,998.86 / $2,659.27	Professional		$1,501.22	$1,998.86	$2,659.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $587.22 / $2,985.04 / $4,179.06	Facility		$587.22	$2,985.04	$4,179.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.43 / $1,838.91 / $3,733.15	Professional		$1,532.43	$1,838.91	$3,733.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.50 / $3,010.70 / $3,758.00	Professional		$2,187.50	$3,010.70	$3,758.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.22 / $2,985.04 / $4,179.06	Facility		$587.22	$2,985.04	$4,179.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $914.15 / $2,920.75 / $3,878.60	Professional		$914.15	$2,920.75	$3,878.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,597.23 / $2,798.39 / $3,517.98	Professional		$1,597.23	$2,798.39	$3,517.98