Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,644.16 / $9,813.00 / $14,552.94	Facility		$2,644.16	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $1,579.57 / $4,484.60	Professional		$787.82	$1,579.57	$4,484.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,258.94 / $3,019.87 / $3,960.81	Professional		$2,258.94	$3,019.87	$3,960.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $875.32 / $4,484.60 / $6,278.45	Facility		$875.32	$4,484.60	$6,278.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,278.80 / $2,734.56 / $5,551.46	Professional		$2,278.80	$2,734.56	$5,551.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,300.00 / $4,530.75 / $5,588.00	Professional		$3,300.00	$4,530.75	$5,588.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $875.32 / $4,484.60 / $6,278.45	Facility		$875.32	$4,484.60	$6,278.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,370.56 / $4,516.89 / $5,823.40	Professional		$1,370.56	$4,516.89	$5,823.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,407.92 / $4,831.80 / $5,314.98	Professional		$2,407.92	$4,831.80	$5,314.98