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 $868.52 / $4,389.22 / $4,389.22	Professional		$868.52	$4,389.22	$4,389.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,216.59 / $2,853.01 / $4,018.05	Professional		$2,216.59	$2,853.01	$4,018.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $868.52 / $4,389.22 / $6,144.92	Facility		$868.52	$4,389.22	$6,144.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,252.13 / $2,702.55 / $5,486.45	Professional		$2,252.13	$2,702.55	$5,486.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,131.25 / $4,113.06 / $5,535.20	Professional		$3,131.25	$4,113.06	$5,535.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.52 / $4,389.22 / $6,144.92	Facility		$868.52	$4,389.22	$6,144.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,328.22 / $3,885.50 / $5,535.20	Professional		$1,328.22	$3,885.50	$5,535.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,282.40 / $3,994.20 / $5,021.28	Professional		$2,282.40	$3,994.20	$5,021.28