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 $827.40 / $4,190.77 / $4,190.77	Professional		$827.40	$4,190.77	$4,190.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.07 / $2,709.91 / $3,830.15	Professional		$2,107.07	$2,709.91	$3,830.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $827.40 / $4,190.77 / $5,867.08	Facility		$827.40	$4,190.77	$5,867.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,151.05 / $2,581.26 / $5,240.20	Professional		$2,151.05	$2,581.26	$5,240.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,950.00 / $4,156.50 / $5,227.20	Professional		$2,950.00	$4,156.50	$5,227.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $827.40 / $4,190.77 / $5,867.08	Facility		$827.40	$4,190.77	$5,867.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,268.80 / $4,067.00 / $5,227.20	Professional		$1,268.80	$4,067.00	$5,227.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,167.92 / $3,793.86 / $4,769.42	Professional		$2,167.92	$3,793.86	$4,769.42