Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,793.00 / $13,413.92	Facility		$3,741.00	$10,793.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.01 / $5,144.79 / $5,459.23	Professional		$817.01	$5,144.79	$5,459.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,598.26 / $3,530.69 / $4,393.20	Professional		$2,598.26	$3,530.69	$4,393.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $984.96 / $5,144.79 / $7,202.71	Facility		$984.96	$5,144.79	$7,202.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,545.67 / $3,054.81 / $6,201.56	Professional		$2,545.67	$3,054.81	$6,201.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,772.50 / $5,172.04 / $6,224.00	Professional		$3,772.50	$5,172.04	$6,224.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.96 / $5,144.79 / $7,202.71	Facility		$984.96	$5,144.79	$7,202.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,583.48 / $5,067.14 / $6,668.20	Professional		$1,583.48	$5,067.14	$6,668.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,824.56 / $4,942.97 / $6,214.03	Professional		$2,824.56	$4,942.97	$6,214.03