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 $744.72 / $2,553.64 / $4,331.06	Professional		$744.72	$2,553.64	$4,331.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,178.00 / $2,806.81 / $3,949.79	Professional		$2,178.00	$2,806.81	$3,949.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $853.28 / $4,331.06 / $6,063.48	Facility		$853.28	$4,331.06	$6,063.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,218.15 / $2,661.78 / $5,403.71	Professional		$2,218.15	$2,661.78	$5,403.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,061.25 / $4,297.60 / $5,414.20	Professional		$3,061.25	$4,297.60	$5,414.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $853.28 / $4,331.06 / $6,063.48	Facility		$853.28	$4,331.06	$6,063.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,311.55 / $4,291.00 / $5,414.20	Professional		$1,311.55	$4,291.00	$5,414.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,245.44 / $3,929.52 / $4,939.97	Professional		$2,245.44	$3,929.52	$4,939.97