Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.74 / $10,900.00 / $14,552.94	Facility		$1,672.74	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,212.83 / $3,212.83 / $3,212.83	Professional		$3,212.83	$3,212.83	$3,212.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,984.78 / $1,984.78 / $1,984.78	Professional		$1,984.78	$1,984.78	$1,984.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $3,212.83 / $4,594.35	Facility		$702.03	$3,212.83	$4,594.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.73 / $3,570.00 / $4,611.62	Professional		$1,374.73	$3,570.00	$4,611.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,125.00 / $2,465.00 / $3,762.01	Professional		$2,125.00	$2,465.00	$3,762.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $3,212.83 / $4,594.35	Facility		$702.03	$3,212.83	$4,594.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.92 / $2,530.50 / $3,854.80	Professional		$560.92	$2,530.50	$3,854.80
United Facility/Professional Professional Modifier Low / Median / High Price $895.13 / $2,381.73 / $3,659.12	Professional		$895.13	$2,381.73	$3,659.12