Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,029.79 / $8,303.41 / $13,413.92	Facility		$2,029.79	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.28 / $3,442.58 / $3,442.58	Professional		$660.28	$3,442.58	$3,442.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,732.04 / $2,313.66 / $3,054.56	Professional		$1,732.04	$2,313.66	$3,054.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $674.74 / $3,442.58 / $4,819.60	Facility		$674.74	$3,442.58	$4,819.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.85 / $2,110.62 / $4,284.75	Professional		$1,758.85	$2,110.62	$4,284.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,553.75 / $3,513.96 / $4,314.00	Professional		$2,553.75	$3,513.96	$4,314.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $674.74 / $3,442.58 / $4,819.60	Facility		$674.74	$3,442.58	$4,819.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,053.36 / $3,473.10 / $4,485.80	Professional		$1,053.36	$3,473.10	$4,485.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,847.70 / $3,701.84 / $4,072.02	Professional		$1,847.70	$3,701.84	$4,072.02