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 $944.60 / $4,773.13 / $5,489.10	Professional		$944.60	$4,773.13	$5,489.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,421.57 / $3,126.13 / $4,364.02	Professional		$2,421.57	$3,126.13	$4,364.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $944.60 / $4,773.13 / $6,682.38	Facility		$944.60	$4,773.13	$6,682.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,443.78 / $2,932.53 / $5,953.34	Professional		$2,443.78	$2,932.53	$5,953.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,436.25 / $4,802.50 / $6,072.00	Professional		$3,436.25	$4,802.50	$6,072.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $944.60 / $4,773.13 / $6,682.38	Facility		$944.60	$4,773.13	$6,682.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,444.31 / $4,784.50 / $6,094.00	Professional		$1,444.31	$4,784.50	$6,094.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,500.90 / $4,376.58 / $5,501.98	Professional		$2,500.90	$4,376.58	$5,501.98