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 $664.90 / $3,466.58 / $3,466.58	Professional		$664.90	$3,466.58	$3,466.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,742.92 / $2,327.05 / $3,077.88	Professional		$1,742.92	$2,327.05	$3,077.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.89 / $3,466.58 / $4,853.21	Facility		$679.89	$3,466.58	$4,853.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,772.60 / $2,127.12 / $4,318.24	Professional		$1,772.60	$2,127.12	$4,318.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,552.50 / $3,536.32 / $4,348.00	Professional		$2,552.50	$3,536.32	$4,348.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.89 / $3,466.58 / $4,853.21	Facility		$679.89	$3,466.58	$4,853.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,060.85 / $3,495.20 / $4,514.39	Professional		$1,060.85	$3,495.20	$4,514.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,858.12 / $3,257.87 / $4,095.61	Professional		$1,858.12	$3,257.87	$4,095.61