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 $820.88 / $4,162.45 / $4,162.45	Professional		$820.88	$4,162.45	$4,162.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,093.02 / $2,689.54 / $3,805.99	Professional		$2,093.02	$2,689.54	$3,805.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $820.88 / $4,162.45 / $5,827.43	Facility		$820.88	$4,162.45	$5,827.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,138.10 / $2,565.71 / $5,208.68	Professional		$2,138.10	$2,565.71	$5,208.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,930.00 / $4,125.89 / $5,187.60	Professional		$2,930.00	$4,125.89	$5,187.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $820.88 / $4,162.45 / $5,827.43	Facility		$820.88	$4,162.45	$5,827.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,259.75 / $4,110.75 / $5,187.60	Professional		$1,259.75	$4,110.75	$5,187.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,082.98 / $3,687.76 / $4,733.60	Professional		$1,082.98	$3,687.76	$4,733.60