Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.41 / $3,351.08 / $3,351.08	Professional		$642.41	$3,351.08	$3,351.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,679.98 / $2,239.36 / $2,984.46	Professional		$1,679.98	$2,239.36	$2,984.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.10 / $3,351.08 / $4,691.51	Facility		$660.10	$3,351.08	$4,691.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.45 / $2,066.94 / $4,196.10	Professional		$1,722.45	$2,066.94	$4,196.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $3,393.25 / $4,212.00	Professional		$2,450.00	$3,393.25	$4,212.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.10 / $3,351.08 / $4,691.51	Facility		$660.10	$3,351.08	$4,691.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,025.50 / $3,369.40 / $4,340.60	Professional		$1,025.50	$3,369.40	$4,340.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,791.48 / $3,582.96 / $3,941.26	Professional		$1,791.48	$3,582.96	$3,941.26