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 $656.62 / $3,288.88 / $3,288.88	Professional		$656.62	$3,288.88	$3,288.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,649.57 / $2,090.84 / $3,052.06	Professional		$1,649.57	$2,090.84	$3,052.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.62 / $3,288.88 / $4,604.43	Facility		$656.62	$3,288.88	$4,604.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,703.85 / $2,044.62 / $4,150.79	Professional		$1,703.85	$2,044.62	$4,150.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $3,247.00 / $4,043.60	Professional		$2,280.00	$3,247.00	$4,043.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $656.62 / $3,288.88 / $4,604.43	Facility		$656.62	$3,288.88	$4,604.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $994.14 / $3,190.25 / $4,043.60	Professional		$994.14	$3,190.25	$4,043.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,672.68 / $2,866.86 / $3,679.90	Professional		$1,672.68	$2,866.86	$3,679.90