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 $3,725.14 / $3,725.14 / $4,643.18	Professional		$3,725.14	$3,725.14	$4,643.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,514.87 / $2,514.87 / $2,514.87	Professional		$2,514.87	$2,514.87	$2,514.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.80 / $3,725.14 / $5,326.95	Facility		$828.80	$3,725.14	$5,326.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.18 / $4,454.10 / $5,504.27	Professional		$1,715.18	$4,454.10	$5,504.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,651.25 / $3,075.45 / $4,771.80	Professional		$2,651.25	$3,075.45	$4,771.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.80 / $3,725.14 / $5,326.95	Facility		$828.80	$3,725.14	$5,326.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,033.04 / $3,313.50 / $4,937.22	Professional		$1,033.04	$3,313.50	$4,937.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,959.30 / $2,011.90 / $5,029.75	Professional		$1,959.30	$2,011.90	$5,029.75