Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,029.81 / $10,900.00 / $14,552.94	Facility		$2,029.81	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.15 / $3,442.64 / $3,442.64	Professional		$668.15	$3,442.64	$3,442.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,724.53 / $2,258.38 / $3,090.67	Professional		$1,724.53	$2,258.38	$3,090.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $674.36 / $3,442.64 / $4,819.70	Facility		$674.36	$3,442.64	$4,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,762.88 / $2,115.44 / $4,294.60	Professional		$1,762.88	$2,115.44	$4,294.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,430.00 / $3,317.40 / $4,305.39	Professional		$2,430.00	$3,317.40	$4,305.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $674.36 / $3,442.64 / $4,819.70	Facility		$674.36	$3,442.64	$4,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,049.10 / $3,110.40 / $4,305.39	Professional		$1,049.10	$3,110.40	$4,305.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,806.70 / $2,725.60 / $3,974.74	Professional		$1,806.70	$2,725.60	$3,974.74