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 $390.32 / $2,042.17 / $2,042.17	Professional		$390.32	$2,042.17	$2,042.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.77 / $1,555.02 / $1,775.32	Professional		$1,167.77	$1,555.02	$1,775.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $2,042.17 / $2,859.04	Facility		$392.68	$2,042.17	$2,859.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.53 / $1,224.63 / $2,486.14	Professional		$1,020.53	$1,224.63	$2,486.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,577.50 / $2,173.50 / $2,574.60	Professional		$1,577.50	$2,173.50	$2,574.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $2,042.17 / $2,859.04	Facility		$392.68	$2,042.17	$2,859.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.98 / $2,076.00 / $2,760.00	Professional		$655.98	$2,076.00	$2,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.53 / $1,876.73 / $2,736.84	Professional		$1,058.53	$1,876.73	$2,736.84