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 $491.91 / $1,642.32 / $2,785.43	Professional		$491.91	$1,642.32	$2,785.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.28 / $1,860.30 / $2,499.73	Professional		$1,399.28	$1,860.30	$2,499.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.75 / $2,785.43 / $3,899.60	Facility		$552.75	$2,785.43	$3,899.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.90 / $1,735.08 / $3,522.36	Professional		$1,445.90	$1,735.08	$3,522.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,061.25 / $2,846.60 / $3,530.00	Professional		$2,061.25	$2,846.60	$3,530.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.75 / $2,785.43 / $3,899.60	Facility		$552.75	$2,785.43	$3,899.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $856.63 / $2,813.50 / $3,643.20	Professional		$856.63	$2,813.50	$3,643.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.20 / $2,550.73 / $3,274.13	Professional		$1,488.20	$2,550.73	$3,274.13