Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.13 / $2,735.78 / $2,735.78	Professional		$527.13	$2,735.78	$2,735.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.18 / $1,821.69 / $2,447.36	Professional		$1,373.18	$1,821.69	$2,447.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.95 / $2,735.78 / $3,830.09	Facility		$538.95	$2,735.78	$3,830.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.88 / $1,689.45 / $3,429.77	Professional		$1,407.88	$1,689.45	$3,429.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,750.60 / $3,454.00	Professional		$2,000.00	$2,750.60	$3,454.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.95 / $2,735.78 / $3,830.09	Facility		$538.95	$2,735.78	$3,830.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $837.13 / $2,745.75 / $3,528.80	Professional		$837.13	$2,745.75	$3,528.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,905.54 / $3,905.54 / $3,905.54	Facility		$3,905.54	$3,905.54	$3,905.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,457.34 / $2,914.68 / $3,206.15	Professional		$1,457.34	$2,914.68	$3,206.15