Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,463.59 / $9,813.00 / $17,617.16	Facility		$2,463.59	$9,813.00	$17,617.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.11 / $4,178.32 / $4,178.32	Professional		$801.11	$4,178.32	$4,178.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,102.41 / $2,808.06 / $3,699.12	Professional		$2,102.41	$2,808.06	$3,699.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $816.44 / $4,178.32 / $5,849.65	Facility		$816.44	$4,178.32	$5,849.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.78 / $2,552.13 / $5,181.10	Professional		$2,126.78	$2,552.13	$5,181.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.00 / $4,207.50 / $5,218.00	Professional		$3,090.00	$4,207.50	$5,218.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $816.44 / $4,178.32 / $5,849.65	Facility		$816.44	$4,178.32	$5,849.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,277.26 / $4,152.75 / $5,425.20	Professional		$1,277.26	$4,152.75	$5,425.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,239.04 / $3,931.31 / $4,942.21	Professional		$2,239.04	$3,931.31	$4,942.21