Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,245.03 / $10,900.00 / $14,552.94	Facility		$2,245.03	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,947.94 / $4,312.05 / $4,312.05	Professional		$3,947.94	$4,312.05	$4,312.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,653.67 / $2,653.67 / $2,653.67	Professional		$2,653.67	$2,653.67	$2,653.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $941.58 / $4,312.05 / $6,166.23	Facility		$941.58	$4,312.05	$6,166.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.25 / $4,760.70 / $6,171.69	Professional		$1,833.25	$4,760.70	$6,171.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,833.75 / $3,287.15 / $5,024.18	Professional		$2,833.75	$3,287.15	$5,024.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $941.58 / $4,312.05 / $6,166.23	Facility		$941.58	$4,312.05	$6,166.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $749.12 / $3,384.00 / $5,189.24	Professional		$749.12	$3,384.00	$5,189.24
United Facility/Professional Professional Modifier Low / Median / High Price $2,122.94 / $3,184.41 / $4,915.74	Professional		$2,122.94	$3,184.41	$4,915.74