Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.23 / $9,577.00 / $13,413.92	Facility		$2,304.23	$9,577.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.35 / $2,507.38 / $3,908.06	Professional		$465.35	$2,507.38	$3,908.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.43 / $2,025.72 / $3,589.11	Professional		$1,250.43	$2,025.72	$3,589.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $581.16 / $2,507.38 / $5,471.28	Facility		$581.16	$2,507.38	$5,471.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.38 / $2,405.61 / $4,834.05	Professional		$1,249.38	$2,405.61	$4,834.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,931.25 / $3,065.00 / $4,812.60	Professional		$1,931.25	$3,065.00	$4,812.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.42 / $2,758.12 / $5,471.28	Facility		$636.42	$2,758.12	$5,471.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,164.70 / $2,788.50 / $4,812.60	Professional		$1,164.70	$2,788.50	$4,812.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,147.38 / $3,757.92 / $4,724.24	Professional		$2,147.38	$3,757.92	$4,724.24