Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $10,000.00 / $16,595.87	Facility		$2,570.40	$10,000.00	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,570.40	Professional		$758.58	$1,071.52	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,715.35	Professional		$2,089.30	$2,818.38	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $5,888.44	Facility		$776.25	$1,288.25	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $4,365.16	Professional		$1,995.26	$2,951.21	$4,365.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $4,897.79	Professional		$2,691.53	$3,548.13	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $4,570.88	Facility		$794.33	$1,258.93	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,174.90 / $2,818.38	Professional		$60.26	$1,174.90	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,890.45 / $4,897.79	Professional		$977.24	$3,890.45	$4,897.79