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 $811.09 / $4,106.20 / $4,106.20	Professional		$811.09	$4,106.20	$4,106.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,065.08 / $2,652.96 / $3,756.82	Professional		$2,065.08	$2,652.96	$3,756.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $811.09 / $4,106.20 / $5,748.68	Facility		$811.09	$4,106.20	$5,748.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,110.60 / $2,532.71 / $5,141.70	Professional		$2,110.60	$2,532.71	$5,141.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,892.50 / $4,073.20 / $5,119.39	Professional		$2,892.50	$4,073.20	$5,119.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $811.09 / $4,106.20 / $5,748.68	Facility		$811.09	$4,106.20	$5,748.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.52 / $4,000.50 / $5,119.39	Professional		$1,243.52	$4,000.50	$5,119.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,122.38 / $3,637.61 / $4,669.24	Professional		$2,122.38	$3,637.61	$4,669.24