Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.22 / $3,479.64 / $3,479.64	Professional		$667.22	$3,479.64	$3,479.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,750.56 / $2,340.10 / $3,086.01	Professional		$1,750.56	$2,340.10	$3,086.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.65 / $3,479.64 / $4,871.50	Facility		$681.65	$3,479.64	$4,871.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.63 / $2,131.94 / $4,328.09	Professional		$1,776.63	$2,131.94	$4,328.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,571.25 / $3,553.52 / $4,356.00	Professional		$2,571.25	$3,553.52	$4,356.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.65 / $3,479.64 / $4,871.50	Facility		$681.65	$3,479.64	$4,871.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,064.23 / $3,512.20 / $4,538.60	Professional		$1,064.23	$3,512.20	$4,538.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,869.40 / $3,276.14 / $4,118.58	Professional		$1,869.40	$3,276.14	$4,118.58