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 $638.02 / $3,323.96 / $3,323.96	Professional		$638.02	$3,323.96	$3,323.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,670.51 / $2,230.78 / $2,950.03	Professional		$1,670.51	$2,230.78	$2,950.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.46 / $3,323.96 / $4,653.54	Facility		$651.46	$3,323.96	$4,653.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.20 / $2,037.84 / $4,137.00	Professional		$1,698.20	$2,037.84	$4,137.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,453.75 / $3,382.75 / $4,160.00	Professional		$2,453.75	$3,382.75	$4,160.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $651.46 / $3,323.96 / $4,653.54	Facility		$651.46	$3,323.96	$4,653.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,016.20 / $3,349.00 / $4,316.39	Professional		$1,016.20	$3,349.00	$4,316.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.46 / $3,123.09 / $3,926.16	Professional		$1,778.46	$3,123.09	$3,926.16