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 $377.69 / $1,950.96 / $1,950.96	Professional		$377.69	$1,950.96	$1,950.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.26 / $1,293.09 / $1,763.22	Professional		$976.26	$1,293.09	$1,763.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.54 / $1,950.96 / $2,731.34	Facility		$389.54	$1,950.96	$2,731.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.53 / $1,224.63 / $2,486.14	Professional		$1,020.53	$1,224.63	$2,486.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.50 / $1,968.60 / $2,496.00	Professional		$1,447.50	$1,968.60	$2,496.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.54 / $1,950.96 / $2,731.34	Facility		$389.54	$1,950.96	$2,731.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $599.09 / $1,925.00 / $2,543.19	Professional		$599.09	$1,925.00	$2,543.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,034.48 / $1,773.03 / $2,275.86	Professional		$1,034.48	$1,773.03	$2,275.86