Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,342.19 / $9,774.00 / $14,552.94	Facility		$2,342.19	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.68 / $3,817.68 / $4,639.46	Professional		$3,817.68	$3,817.68	$4,639.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,568.92 / $2,568.92 / $2,568.92	Professional		$2,568.92	$2,568.92	$2,568.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $966.54 / $3,817.68 / $5,459.28	Facility		$966.54	$3,817.68	$5,459.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.58 / $5,130.30 / $6,408.03	Professional		$1,975.58	$5,130.30	$6,408.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,053.75 / $3,542.35 / $4,763.00	Professional		$3,053.75	$3,542.35	$4,763.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $966.54 / $3,817.68 / $5,459.28	Facility		$966.54	$3,817.68	$5,459.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,054.50 / $3,391.50 / $4,950.60	Professional		$1,054.50	$3,391.50	$4,950.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,974.24 / $2,055.14 / $4,540.75	Professional		$1,974.24	$2,055.14	$4,540.75