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 $640.23 / $3,336.09 / $3,336.09	Professional		$640.23	$3,336.09	$3,336.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,677.12 / $2,239.81 / $2,960.23	Professional		$1,677.12	$2,239.81	$2,960.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $653.95 / $3,336.09 / $4,670.53	Facility		$653.95	$3,336.09	$4,670.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,704.65 / $2,045.58 / $4,152.76	Professional		$1,704.65	$2,045.58	$4,152.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,457.50 / $3,402.16 / $4,174.00	Professional		$2,457.50	$3,402.16	$4,174.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.95 / $3,336.09 / $4,670.53	Facility		$653.95	$3,336.09	$4,670.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,019.69 / $3,362.60 / $4,334.00	Professional		$1,019.69	$3,362.60	$4,334.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,785.70 / $3,583.68 / $3,942.05	Professional		$1,785.70	$3,583.68	$3,942.05