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 $751.36 / $3,771.96 / $3,771.96	Professional		$751.36	$3,771.96	$3,771.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.34 / $2,427.11 / $3,490.60	Professional		$1,902.34	$2,427.11	$3,490.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $751.36 / $3,771.96 / $5,280.74	Facility		$751.36	$3,771.96	$5,280.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.68 / $2,339.61 / $4,749.67	Professional		$1,949.68	$2,339.61	$4,749.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,663.75 / $3,762.10 / $4,725.60	Professional		$2,663.75	$3,762.10	$4,725.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.36 / $3,771.96 / $5,280.74	Facility		$751.36	$3,771.96	$5,280.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,139.80 / $3,720.50 / $4,725.60	Professional		$1,139.80	$3,720.50	$4,725.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,941.68 / $3,397.94 / $4,271.70	Professional		$1,941.68	$3,397.94	$4,271.70