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 $477.63 / $2,623.82 / $2,623.82	Professional		$477.63	$2,623.82	$2,623.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.56 / $1,792.52 / $2,203.04	Professional		$1,320.56	$1,792.52	$2,203.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.30 / $2,623.82 / $3,673.35	Facility		$490.30	$2,623.82	$3,673.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.95 / $1,516.74 / $3,079.11	Professional		$1,263.95	$1,516.74	$3,079.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,865.00 / $2,566.23 / $3,482.60	Professional		$1,865.00	$2,566.23	$3,482.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.30 / $2,623.82 / $3,673.35	Facility		$490.30	$2,623.82	$3,673.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $809.54 / $2,519.55 / $3,750.60	Professional		$809.54	$2,519.55	$3,750.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,434.02 / $1,507.98 / $2,939.74	Professional		$1,434.02	$1,507.98	$2,939.74