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 $831.23 / $4,175.43 / $4,175.43	Professional		$831.23	$4,175.43	$4,175.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.17 / $2,713.51 / $3,853.45	Professional		$2,116.17	$2,713.51	$3,853.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.23 / $4,175.43 / $5,845.60	Facility		$831.23	$4,175.43	$5,845.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,151.05 / $2,581.26 / $5,240.20	Professional		$2,151.05	$2,581.26	$5,240.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,988.75 / $4,200.70 / $5,306.40	Professional		$2,988.75	$4,200.70	$5,306.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.23 / $4,175.43 / $5,845.60	Facility		$831.23	$4,175.43	$5,845.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,261.38 / $4,172.00 / $5,306.40	Professional		$1,261.38	$4,172.00	$5,306.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.80 / $3,798.90 / $4,775.76	Professional		$2,170.80	$3,798.90	$4,775.76