Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.53 / $10,900.00 / $14,552.94	Facility		$1,484.53	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,609.02 / $2,851.35 / $2,851.35	Professional		$2,609.02	$2,851.35	$2,851.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.71 / $1,752.71 / $1,752.71	Professional		$1,752.71	$1,752.71	$1,752.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $2,851.35 / $4,077.43	Facility		$621.90	$2,851.35	$4,077.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.58 / $3,143.70 / $4,077.45	Professional		$1,210.58	$3,143.70	$4,077.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,871.25 / $2,170.65 / $3,349.46	Professional		$1,871.25	$2,170.65	$3,349.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $2,851.35 / $4,077.43	Facility		$621.90	$2,851.35	$4,077.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $2,235.00 / $3,574.76	Professional		$499.42	$2,235.00	$3,574.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,402.16 / $2,103.23 / $3,249.12	Professional		$1,402.16	$2,103.23	$3,249.12