Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,563.60 / $9,813.00 / $14,552.94	Facility		$2,563.60	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.27 / $4,347.96 / $4,347.96	Professional		$833.27	$4,347.96	$4,347.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,190.67 / $2,927.69 / $3,842.39	Professional		$2,190.67	$2,927.69	$3,842.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $849.93 / $4,347.96 / $6,087.14	Facility		$849.93	$4,347.96	$6,087.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,213.30 / $2,655.96 / $5,391.89	Professional		$2,213.30	$2,655.96	$5,391.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,202.50 / $4,425.75 / $5,428.00	Professional		$3,202.50	$4,425.75	$5,428.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $849.93 / $4,347.96 / $6,087.14	Facility		$849.93	$4,347.96	$6,087.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,330.09 / $4,382.60 / $5,649.60	Professional		$1,330.09	$4,382.60	$5,649.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,342.16 / $4,014.30 / $5,152.75	Professional		$2,342.16	$4,014.30	$5,152.75