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 $815.73 / $4,261.18 / $4,261.18	Professional		$815.73	$4,261.18	$4,261.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,145.83 / $2,872.44 / $3,767.53	Professional		$2,145.83	$2,872.44	$3,767.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $833.10 / $4,261.18 / $5,965.67	Facility		$833.10	$4,261.18	$5,965.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,169.65 / $2,603.58 / $5,285.51	Professional		$2,169.65	$2,603.58	$5,285.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,151.25 / $4,351.60 / $5,322.00	Professional		$3,151.25	$4,351.60	$5,322.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $833.10 / $4,261.18 / $5,965.67	Facility		$833.10	$4,261.18	$5,965.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,303.85 / $4,301.00 / $5,568.20	Professional		$1,303.85	$4,301.00	$5,568.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,297.96 / $4,595.92 / $5,055.51	Professional		$2,297.96	$4,595.92	$5,055.51