Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,639.03 / $9,774.00 / $14,552.94	Facility		$2,639.03	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.51 / $4,475.88 / $4,475.88	Professional		$855.51	$4,475.88	$4,475.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,257.35 / $3,024.47 / $3,940.64	Professional		$2,257.35	$3,024.47	$3,940.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.69 / $4,475.88 / $6,266.23	Facility		$871.69	$4,475.88	$6,266.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,267.50 / $2,721.00 / $5,523.88	Professional		$2,267.50	$2,721.00	$5,523.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,321.25 / $4,311.10 / $5,562.00	Professional		$3,321.25	$4,311.10	$5,562.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $871.69 / $4,475.88 / $6,266.23	Facility		$871.69	$4,475.88	$6,266.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,368.18 / $4,057.20 / $5,838.80	Professional		$1,368.18	$4,057.20	$5,838.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,419.58 / $4,839.16 / $5,323.08	Professional		$2,419.58	$4,839.16	$5,323.08