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 $649.11 / $3,380.19 / $3,380.19	Professional		$649.11	$3,380.19	$3,380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.34 / $2,267.73 / $3,003.94	Professional		$1,700.34	$2,267.73	$3,003.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.59 / $3,380.19 / $4,732.27	Facility		$663.59	$3,380.19	$4,732.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.55 / $2,076.66 / $4,215.80	Professional		$1,730.55	$2,076.66	$4,215.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,478.75 / $3,448.60 / $4,240.00	Professional		$2,478.75	$3,448.60	$4,240.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.59 / $3,380.19 / $4,732.27	Facility		$663.59	$3,380.19	$4,732.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,034.08 / $3,408.50 / $4,397.80	Professional		$1,034.08	$3,408.50	$4,397.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,805.16 / $3,109.38 / $3,991.20	Professional		$1,805.16	$3,109.38	$3,991.20