Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $13,413.92 / $20,143.00	Facility		$2,236.00	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $3,633.15	Professional		$3,087.00	$3,087.00	$3,633.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,018.15 / $2,018.15 / $2,018.15	Professional		$2,018.15	$2,018.15	$2,018.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $772.05 / $3,087.00 / $4,414.41	Facility		$772.05	$3,087.00	$4,414.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.60 / $4,218.89 / $5,153.85	Professional		$1,624.60	$4,218.89	$5,153.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.25 / $2,913.05 / $3,834.60	Professional		$2,511.25	$2,913.05	$3,834.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.05 / $3,087.00 / $4,414.41	Facility		$772.05	$3,087.00	$4,414.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $866.40 / $2,737.50 / $4,067.52	Professional		$866.40	$2,737.50	$4,067.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,546.02 / $1,614.52 / $3,555.85	Professional		$1,546.02	$1,614.52	$3,555.85