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 $873.30 / $4,428.64 / $4,428.64	Professional		$873.30	$4,428.64	$4,428.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,225.64 / $2,865.23 / $4,045.35	Professional		$2,225.64	$2,865.23	$4,045.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $873.30 / $4,428.64 / $6,200.11	Facility		$873.30	$4,428.64	$6,200.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,274.78 / $2,729.73 / $5,541.61	Professional		$2,274.78	$2,729.73	$5,541.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,126.25 / $4,392.80 / $5,519.80	Professional		$3,126.25	$4,392.80	$5,519.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $873.30 / $4,428.64 / $6,200.11	Facility		$873.30	$4,428.64	$6,200.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,341.86 / $4,303.25 / $5,519.80	Professional		$1,341.86	$4,303.25	$5,519.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.20 / $3,457.99 / $5,042.80	Professional		$1,152.20	$3,457.99	$5,042.80