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 $793.75 / $4,014.46 / $4,014.46	Professional		$793.75	$4,014.46	$4,014.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,018.22 / $2,587.73 / $3,678.52	Professional		$2,018.22	$2,587.73	$3,678.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $793.75 / $4,014.46 / $5,620.24	Facility		$793.75	$4,014.46	$5,620.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.13 / $2,479.35 / $5,033.35	Professional		$2,066.13	$2,479.35	$5,033.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,816.25 / $3,976.30 / $5,000.60	Professional		$2,816.25	$3,976.30	$5,000.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $793.75 / $4,014.46 / $5,620.24	Facility		$793.75	$4,014.46	$5,620.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,215.59 / $3,895.50 / $5,000.60	Professional		$1,215.59	$3,895.50	$5,000.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,070.17 / $3,548.14 / $4,554.39	Professional		$2,070.17	$3,548.14	$4,554.39