Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $9,813.00 / $14,552.94	Facility		$2,376.10	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.67 / $4,029.96 / $4,029.96	Professional		$754.67	$4,029.96	$4,029.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,986.02 / $2,698.44 / $3,559.61	Professional		$1,986.02	$2,698.44	$3,559.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $787.06 / $4,029.96 / $5,641.94	Facility		$787.06	$4,029.96	$5,641.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.15 / $2,458.98 / $4,991.97	Professional		$2,049.15	$2,458.98	$4,991.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,796.25 / $4,032.40 / $4,919.20	Professional		$2,796.25	$4,032.40	$4,919.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $787.06 / $4,029.96 / $5,641.94	Facility		$787.06	$4,029.96	$5,641.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,232.16 / $3,902.50 / $4,919.20	Professional		$1,232.16	$3,902.50	$4,919.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,141.11 / $3,777.80 / $4,749.22	Professional		$2,141.11	$3,777.80	$4,749.22