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 $419.50 / $2,192.09 / $2,192.09	Professional		$419.50	$2,192.09	$2,192.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.01 / $1,464.01 / $1,960.71	Professional		$1,100.01	$1,464.01	$1,960.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.53 / $2,192.09 / $3,068.93	Facility		$435.53	$2,192.09	$3,068.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.59 / $1,366.32 / $2,773.76	Professional		$1,138.59	$1,366.32	$2,773.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,617.50 / $2,234.28 / $2,754.00	Professional		$1,617.50	$2,234.28	$2,754.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.53 / $2,192.09 / $3,068.93	Facility		$435.53	$2,192.09	$3,068.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $669.16 / $2,208.30 / $2,864.40	Professional		$669.16	$2,208.30	$2,864.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.22 / $2,049.64 / $2,576.67	Professional		$1,171.22	$2,049.64	$2,576.67