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 $636.92 / $3,209.11 / $3,209.11	Professional		$636.92	$3,209.11	$3,209.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,607.34 / $2,043.60 / $2,970.37	Professional		$1,607.34	$2,043.60	$2,970.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.92 / $3,209.11 / $4,492.75	Facility		$636.92	$3,209.11	$4,492.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.53 / $1,985.43 / $4,030.62	Professional		$1,654.53	$1,985.43	$4,030.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,222.50 / $3,167.50 / $3,929.20	Professional		$2,222.50	$3,167.50	$3,929.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.92 / $3,209.11 / $4,492.75	Facility		$636.92	$3,209.11	$4,492.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $971.35 / $3,163.70 / $3,929.20	Professional		$971.35	$3,163.70	$3,929.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,634.88 / $2,861.04 / $3,596.74	Professional		$1,634.88	$2,861.04	$3,596.74