Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.92 / $10,625.00 / $22,888.00	Facility		$2,288.92	$10,625.00	$22,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.37 / $3,882.10 / $3,882.10	Professional		$743.37	$3,882.10	$3,882.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,955.17 / $2,615.57 / $3,432.99	Professional		$1,955.17	$2,615.57	$3,432.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $759.18 / $3,882.10 / $5,434.94	Facility		$759.18	$3,882.10	$5,434.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,977.18 / $2,372.61 / $4,816.64	Professional		$1,977.18	$2,372.61	$4,816.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,865.00 / $3,962.88 / $4,846.00	Professional		$2,865.00	$3,962.88	$4,846.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.18 / $3,882.10 / $5,434.94	Facility		$759.18	$3,882.10	$5,434.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,187.33 / $3,916.80 / $5,062.20	Professional		$1,187.33	$3,916.80	$5,062.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.80 / $3,661.81 / $4,603.41	Professional		$2,089.80	$3,661.81	$4,603.41