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 $2,339.69 / $2,487.19 / $2,872.17	Professional		$2,339.69	$2,487.19	$2,872.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.27 / $1,517.27 / $1,517.27	Professional		$1,517.27	$1,517.27	$1,517.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $545.79 / $2,487.19 / $3,556.70	Facility		$545.79	$2,487.19	$3,556.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.08 / $2,830.80 / $3,579.75	Professional		$1,090.08	$2,830.80	$3,579.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,685.00 / $1,954.60 / $2,954.75	Professional		$1,685.00	$1,954.60	$2,954.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.79 / $2,487.19 / $3,556.70	Facility		$545.79	$2,487.19	$3,556.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.56 / $1,975.50 / $3,158.26	Professional		$440.56	$1,975.50	$3,158.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,213.82 / $1,820.73 / $2,811.06	Professional		$1,213.82	$1,820.73	$2,811.06