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 $2,063.16 / $2,191.61 / $2,525.36	Professional		$2,063.16	$2,191.61	$2,525.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.33 / $1,333.33 / $1,333.33	Professional		$1,333.33	$1,333.33	$1,333.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.95 / $2,191.61 / $3,134.00	Facility		$480.95	$2,191.61	$3,134.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $962.30 / $2,499.00 / $3,158.16	Professional		$962.30	$2,499.00	$3,158.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.50 / $1,725.50 / $2,604.64	Professional		$1,487.50	$1,725.50	$2,604.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.95 / $2,191.61 / $3,134.00	Facility		$480.95	$2,191.61	$3,134.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.36 / $1,738.50 / $2,671.17	Professional		$388.36	$1,738.50	$2,671.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.66 / $1,599.99 / $2,471.63	Professional		$1,066.66	$1,599.99	$2,471.63