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 $685.77 / $2,357.03 / $3,997.62	Professional		$685.77	$2,357.03	$3,997.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,009.62 / $2,575.98 / $3,664.25	Professional		$2,009.62	$2,575.98	$3,664.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.88 / $3,997.62 / $5,596.67	Facility		$790.88	$3,997.62	$5,596.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.05 / $2,469.66 / $5,013.64	Professional		$2,058.05	$2,469.66	$5,013.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,812.50 / $3,959.30 / $4,976.39	Professional		$2,812.50	$3,959.30	$4,976.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $790.88 / $3,997.62 / $5,596.67	Facility		$790.88	$3,997.62	$5,596.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,210.24 / $3,878.00 / $4,976.39	Professional		$1,210.24	$3,878.00	$4,976.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,060.80 / $3,606.40 / $4,533.76	Professional		$2,060.80	$3,606.40	$4,533.76