Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,747.36 / $5,103.17 / $5,929.79	Professional		$1,747.36	$5,103.17	$5,929.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.52 / $1,052.52 / $3,282.77	Professional		$1,052.52	$1,052.52	$3,282.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.82 / $2,446.30 / $8,248.37	Facility		$384.82	$2,446.30	$8,248.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $939.33 / $2,514.71 / $6,951.00	Professional		$939.33	$2,514.71	$6,951.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $2,153.25 / $6,357.75	Professional		$1,296.00	$2,153.25	$6,357.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.82 / $2,446.30 / $8,248.37	Facility		$384.82	$2,446.30	$8,248.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,099.41 / $2,153.25 / $6,357.75	Professional		$1,099.41	$2,153.25	$6,357.75
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.00 / $2,626.22 / $5,156.05	Professional		$2,187.00	$2,626.22	$5,156.05