Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,249.09 / $10,900.00 / $14,552.94	Facility		$2,249.09	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,319.83 / $4,319.83 / $4,319.83	Professional		$4,319.83	$4,319.83	$4,319.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,667.69 / $2,667.69 / $2,667.69	Professional		$2,667.69	$2,667.69	$2,667.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $944.04 / $4,319.83 / $6,177.36	Facility		$944.04	$4,319.83	$6,177.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.60 / $4,800.60 / $6,204.25	Professional		$1,848.60	$4,800.60	$6,204.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,857.50 / $3,314.70 / $5,053.18	Professional		$2,857.50	$3,314.70	$5,053.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $944.04 / $4,319.83 / $6,177.36	Facility		$944.04	$4,319.83	$6,177.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $753.45 / $3,399.00 / $5,177.81	Professional		$753.45	$3,399.00	$5,177.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,134.16 / $3,201.24 / $4,917.95	Professional		$2,134.16	$3,201.24	$4,917.95