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 $468.54 / $2,188.71 / $2,642.11	Professional		$468.54	$2,188.71	$2,642.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.47 / $1,771.94 / $2,351.17	Professional		$1,328.47	$1,771.94	$2,351.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $519.21 / $2,642.11 / $3,698.95	Facility		$519.21	$2,642.11	$3,698.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.50 / $1,625.40 / $3,299.75	Professional		$1,354.50	$1,625.40	$3,299.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,926.25 / $2,679.25 / $3,322.00	Professional		$1,926.25	$2,679.25	$3,322.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $519.21 / $2,642.11 / $3,698.95	Facility		$519.21	$2,642.11	$3,698.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.78 / $2,665.60 / $3,449.60	Professional		$808.78	$2,665.60	$3,449.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.54 / $2,480.73 / $3,118.63	Professional		$1,416.54	$2,480.73	$3,118.63