Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.24 / $3,396.92 / $3,678.08	Professional		$676.24	$3,396.92	$3,678.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,745.18 / $2,188.89 / $3,128.37	Professional		$1,745.18	$2,188.89	$3,128.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.24 / $3,396.92 / $4,755.68	Facility		$676.24	$3,396.92	$4,755.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,749.95 / $2,099.94 / $4,263.08	Professional		$1,749.95	$2,099.94	$4,263.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,381.25 / $3,374.50 / $4,261.39	Professional		$2,381.25	$3,374.50	$4,261.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.24 / $3,396.92 / $4,755.68	Facility		$676.24	$3,396.92	$4,755.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.83 / $3,333.75 / $4,261.39	Professional		$1,023.83	$3,333.75	$4,261.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.12 / $3,064.46 / $3,852.46	Professional		$1,751.12	$3,064.46	$3,852.46