Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.39 / $10,900.00 / $14,552.94	Facility		$1,318.39	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,532.26 / $2,532.26 / $3,180.63	Professional		$2,532.26	$2,532.26	$3,180.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.42 / $2,119.42 / $2,119.42	Professional		$2,119.42	$2,119.42	$2,119.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.21 / $2,532.26 / $3,621.13	Facility		$552.21	$2,532.26	$3,621.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.90 / $2,788.80 / $3,622.26	Professional		$1,073.90	$2,788.80	$3,622.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,660.00 / $1,925.60 / $4,056.37	Professional		$1,660.00	$1,925.60	$4,056.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.21 / $2,532.26 / $3,621.13	Facility		$552.21	$2,532.26	$3,621.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $604.82 / $2,430.75 / $4,174.70	Professional		$604.82	$2,430.75	$4,174.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,695.54 / $2,543.31 / $3,933.55	Professional		$1,695.54	$2,543.31	$3,933.55