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 $605.46 / $3,110.78 / $3,110.78	Professional		$605.46	$3,110.78	$3,110.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,555.68 / $2,029.17 / $2,807.43	Professional		$1,555.68	$2,029.17	$2,807.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $611.07 / $3,110.78 / $4,355.09	Facility		$611.07	$3,110.78	$4,355.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,599.53 / $1,919.43 / $3,896.66	Professional		$1,599.53	$1,919.43	$3,896.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,217.50 / $3,080.40 / $3,867.60	Professional		$2,217.50	$3,080.40	$3,867.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.07 / $3,110.78 / $4,355.09	Facility		$611.07	$3,110.78	$4,355.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $948.26 / $2,877.00 / $3,867.60	Professional		$948.26	$2,877.00	$3,867.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,623.34 / $2,448.98 / $3,571.35	Professional		$1,623.34	$2,448.98	$3,571.35