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 $738.83 / $3,721.88 / $3,721.88	Professional		$738.83	$3,721.88	$3,721.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,871.16 / $2,388.90 / $3,421.74	Professional		$1,871.16	$2,388.90	$3,421.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.83 / $3,721.88 / $5,210.63	Facility		$738.83	$3,721.88	$5,210.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,916.53 / $2,299.83 / $4,668.89	Professional		$1,916.53	$2,299.83	$4,668.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,603.75 / $3,680.50 / $4,611.20	Professional		$2,603.75	$3,680.50	$4,611.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $738.83 / $3,721.88 / $5,210.63	Facility		$738.83	$3,721.88	$5,210.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,126.66 / $3,652.25 / $4,611.20	Professional		$1,126.66	$3,652.25	$4,611.20
United Facility/Professional Professional Modifier Low / Median / High Price $974.19 / $3,344.46 / $4,204.46	Professional		$974.19	$3,344.46	$4,204.46