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 $675.84 / $3,396.10 / $3,396.10	Professional		$675.84	$3,396.10	$3,396.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,712.33 / $2,167.69 / $3,147.15	Professional		$1,712.33	$2,167.69	$3,147.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $675.84 / $3,396.10 / $4,754.54	Facility		$675.84	$3,396.10	$4,754.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.53 / $2,097.03 / $4,257.17	Professional		$1,747.53	$2,097.03	$4,257.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,387.50 / $3,357.50 / $4,272.39	Professional		$2,387.50	$3,357.50	$4,272.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.84 / $3,396.10 / $4,754.54	Facility		$675.84	$3,396.10	$4,754.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.84 / $3,356.50 / $4,272.39	Professional		$1,023.84	$3,356.50	$4,272.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,734.16 / $3,034.78 / $3,815.15	Professional		$1,734.16	$3,034.78	$3,815.15