Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,770.94 / $10,900.00 / $14,552.94	Facility		$1,770.94	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,204.08 / $3,401.46 / $3,401.46	Professional		$3,204.08	$3,401.46	$3,401.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,142.21 / $2,142.21 / $2,142.21	Professional		$2,142.21	$2,142.21	$2,142.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $742.68 / $3,401.46 / $4,864.09	Facility		$742.68	$3,401.46	$4,864.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.08 / $3,752.70 / $4,867.33	Professional		$1,445.08	$3,752.70	$4,867.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,233.75 / $2,591.15 / $4,078.67	Professional		$2,233.75	$2,591.15	$4,078.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $742.68 / $3,401.46 / $4,864.09	Facility		$742.68	$3,401.46	$4,864.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.14 / $2,743.50 / $4,172.41	Professional		$608.14	$2,743.50	$4,172.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.78 / $2,570.67 / $3,943.49	Professional		$1,713.78	$2,570.67	$3,943.49