Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,562.44 / $9,774.00 / $14,552.94	Facility		$2,562.44	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.69 / $4,346.00 / $4,346.00	Professional		$863.69	$4,346.00	$4,346.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,204.11 / $2,832.72 / $3,998.71	Professional		$2,204.11	$2,832.72	$3,998.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $863.69 / $4,346.00 / $6,084.40	Facility		$863.69	$4,346.00	$6,084.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,235.15 / $2,682.18 / $5,445.08	Professional		$2,235.15	$2,682.18	$5,445.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,113.75 / $4,375.80 / $5,530.80	Professional		$3,113.75	$4,375.80	$5,530.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.69 / $4,346.00 / $6,084.40	Facility		$863.69	$4,346.00	$6,084.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,313.78 / $4,343.50 / $5,530.80	Professional		$1,313.78	$4,343.50	$5,530.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.17 / $3,884.07 / $4,985.60	Professional		$1,208.17	$3,884.07	$4,985.60