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 $978.04 / $5,108.49 / $5,874.76	Professional		$978.04	$5,108.49	$5,874.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.75 / $3,444.61 / $4,513.17	Professional		$2,572.75	$3,444.61	$4,513.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $998.77 / $5,108.49 / $7,151.89	Facility		$998.77	$5,108.49	$7,151.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,600.65 / $3,120.78 / $6,335.52	Professional		$2,600.65	$3,120.78	$6,335.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,791.25 / $5,216.76 / $6,374.00	Professional		$3,791.25	$5,216.76	$6,374.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $998.77 / $5,108.49 / $7,151.89	Facility		$998.77	$5,108.49	$7,151.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,562.70 / $5,156.10 / $6,668.20	Professional		$1,562.70	$5,156.10	$6,668.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.40 / $4,822.43 / $6,062.50	Professional		$2,754.40	$4,822.43	$6,062.50