Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.15 / $3,001.02 / $3,001.02	Professional		$600.15	$3,001.02	$3,001.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.39 / $1,901.46 / $2,794.06	Professional		$1,505.39	$1,901.46	$2,794.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $600.15 / $3,001.02 / $4,201.43	Facility		$600.15	$3,001.02	$4,201.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.30 / $1,869.96 / $3,796.19	Professional		$1,558.30	$1,869.96	$3,796.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,063.75 / $2,959.70 / $3,687.20	Professional		$2,063.75	$2,959.70	$3,687.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.15 / $3,001.02 / $4,201.43	Facility		$600.15	$3,001.02	$4,201.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $906.56 / $2,759.75 / $3,687.20	Professional		$906.56	$2,759.75	$3,687.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,521.16 / $2,662.03 / $3,346.55	Professional		$1,521.16	$2,662.03	$3,346.55