Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.50 / $3,052.21 / $3,052.21	Professional		$571.50	$3,052.21	$3,052.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,528.33 / $2,064.96 / $2,631.25	Professional		$1,528.33	$2,064.96	$2,631.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $677.26 / $3,052.21 / $4,273.09	Facility		$677.26	$3,052.21	$4,273.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,765.30 / $2,118.36 / $4,300.51	Professional		$1,765.30	$2,118.36	$4,300.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,198.75 / $3,165.35 / $3,999.60	Professional		$2,198.75	$3,165.35	$3,999.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $677.26 / $3,052.21 / $4,273.09	Facility		$677.26	$3,052.21	$4,273.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,057.48 / $2,992.50 / $3,999.60	Professional		$1,057.48	$2,992.50	$3,999.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,651.98 / $2,890.97 / $3,634.36	Professional		$1,651.98	$2,890.97	$3,634.36