Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,771.15 / $10,900.00 / $14,552.94	Facility		$2,771.15	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.01 / $4,699.95 / $4,699.95	Professional		$898.01	$4,699.95	$4,699.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.82 / $3,180.52 / $4,132.46	Professional		$2,371.82	$3,180.52	$4,132.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $914.60 / $4,699.95 / $6,579.93	Facility		$914.60	$4,699.95	$6,579.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,378.28 / $2,853.93 / $5,793.77	Professional		$2,378.28	$2,853.93	$5,793.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,476.25 / $4,798.80 / $5,828.00	Professional		$3,476.25	$4,798.80	$5,828.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $914.60 / $4,699.95 / $6,579.93	Facility		$914.60	$4,699.95	$6,579.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,435.73 / $4,743.00 / $6,135.80	Professional		$1,435.73	$4,743.00	$6,135.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,544.06 / $5,088.84 / $5,597.72	Professional		$2,544.06	$5,088.84	$5,597.72