Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.05 / $2,388.17 / $2,388.17	Professional		$435.05	$2,388.17	$2,388.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.26 / $1,636.03 / $2,008.46	Professional		$1,203.26	$1,636.03	$2,008.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.34 / $2,388.17 / $3,343.44	Facility		$435.34	$2,388.17	$3,343.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.53 / $1,381.83 / $2,805.28	Professional		$1,151.53	$1,381.83	$2,805.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,712.50 / $2,346.08 / $2,828.00	Professional		$1,712.50	$2,346.08	$2,828.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.52 / $2,388.17 / $3,343.44	Facility		$446.52	$2,388.17	$3,343.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $736.43 / $2,296.80 / $3,018.40	Professional		$736.43	$2,296.80	$3,018.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.82 / $3,200.82 / $3,200.82	Facility		$3,200.82	$3,200.82	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.82 / $2,290.44 / $2,879.40	Professional		$1,308.82	$2,290.44	$2,879.40