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 $493.56 / $2,566.40 / $2,566.40	Professional		$493.56	$2,566.40	$2,566.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.65 / $1,716.75 / $2,291.28	Professional		$1,289.65	$1,716.75	$2,291.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $506.32 / $2,566.40 / $3,592.96	Facility		$506.32	$2,566.40	$3,592.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.18 / $1,586.61 / $3,220.95	Professional		$1,322.18	$1,586.61	$3,220.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,901.25 / $2,589.10 / $3,242.00	Professional		$1,901.25	$2,589.10	$3,242.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.32 / $2,566.40 / $3,592.96	Facility		$506.32	$2,566.40	$3,592.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $786.70 / $2,567.25 / $3,348.40	Professional		$786.70	$2,567.25	$3,348.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.40 / $2,403.44 / $3,021.48	Professional		$1,373.40	$2,403.44	$3,021.48