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 $1,981.39 / $2,104.81 / $2,393.10	Professional		$1,981.39	$2,104.81	$2,393.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.43 / $1,273.43 / $1,273.43	Professional		$1,273.43	$1,273.43	$1,273.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.36 / $2,104.81 / $3,009.88	Facility		$447.36	$2,104.81	$3,009.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $895.20 / $2,324.69 / $2,937.94	Professional		$895.20	$2,324.69	$2,937.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,383.75 / $1,605.15 / $2,473.07	Professional		$1,383.75	$1,605.15	$2,473.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.36 / $2,104.81 / $3,009.88	Facility		$447.36	$2,104.81	$3,009.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.74 / $1,663.50 / $2,567.25	Professional		$368.74	$1,663.50	$2,567.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $2,301.19	Professional		$1,018.74	$1,018.74	$2,301.19