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 $648.79 / $3,378.23 / $3,378.23	Professional		$648.79	$3,378.23	$3,378.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,697.38 / $2,266.38 / $3,002.49	Professional		$1,697.38	$2,266.38	$3,002.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.27 / $3,378.23 / $4,729.52	Facility		$663.27	$3,378.23	$4,729.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.73 / $2,075.67 / $4,213.83	Professional		$1,729.73	$2,075.67	$4,213.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,501.25 / $3,406.80 / $4,236.00	Professional		$2,501.25	$3,406.80	$4,236.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.27 / $3,378.23 / $4,729.52	Facility		$663.27	$3,378.23	$4,729.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,033.25 / $3,360.00 / $4,393.39	Professional		$1,033.25	$3,360.00	$4,393.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,804.30 / $2,735.25 / $3,988.82	Professional		$1,804.30	$2,735.25	$3,988.82