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 $816.45 / $4,136.09 / $4,136.09	Professional		$816.45	$4,136.09	$4,136.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,079.55 / $2,672.73 / $3,783.28	Professional		$2,079.55	$2,672.73	$3,783.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $816.45 / $4,136.09 / $5,790.53	Facility		$816.45	$4,136.09	$5,790.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,125.98 / $2,551.17 / $5,179.13	Professional		$2,125.98	$2,551.17	$5,179.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,903.75 / $4,102.10 / $5,154.60	Professional		$2,903.75	$4,102.10	$5,154.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $816.45 / $4,136.09 / $5,790.53	Facility		$816.45	$4,136.09	$5,790.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,252.15 / $4,074.00 / $5,154.60	Professional		$1,252.15	$4,074.00	$5,154.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,080.82 / $3,225.67 / $4,704.00	Professional		$2,080.82	$3,225.67	$4,704.00