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 $878.71 / $4,423.26 / $4,423.26	Professional		$878.71	$4,423.26	$4,423.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,241.23 / $2,884.42 / $4,066.21	Professional		$2,241.23	$2,884.42	$4,066.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $878.71 / $4,423.26 / $6,192.56	Facility		$878.71	$4,423.26	$6,192.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,271.53 / $2,725.83 / $5,533.73	Professional		$2,271.53	$2,725.83	$5,533.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,170.00 / $4,450.60 / $5,627.60	Professional		$3,170.00	$4,450.60	$5,627.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $878.71 / $4,423.26 / $6,192.56	Facility		$878.71	$4,423.26	$6,192.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,336.60 / $4,450.25 / $5,627.60	Professional		$1,336.60	$4,450.25	$5,627.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,257.78 / $3,954.96 / $5,076.59	Professional		$2,257.78	$3,954.96	$5,076.59