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 $703.73 / $3,667.67 / $3,954.47	Professional		$703.73	$3,667.67	$3,954.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,844.77 / $2,464.55 / $3,255.20	Professional		$1,844.77	$2,464.55	$3,255.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $720.23 / $3,667.67 / $5,134.74	Facility		$720.23	$3,667.67	$5,134.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.73 / $2,253.27 / $4,574.34	Professional		$1,877.73	$2,253.27	$4,574.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,677.50 / $3,744.44 / $4,600.00	Professional		$2,677.50	$3,744.44	$4,600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $720.23 / $3,667.67 / $5,134.74	Facility		$720.23	$3,667.67	$5,134.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.82 / $3,700.90 / $4,785.00	Professional		$1,122.82	$3,700.90	$4,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,971.64 / $3,943.28 / $4,337.60	Professional		$1,971.64	$3,943.28	$4,337.60