Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,815.36 / $6,455.54 / $8,046.09	Professional		$1,815.36	$6,455.54	$8,046.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.94 / $1,093.94 / $4,393.42	Professional		$1,093.94	$1,093.94	$4,393.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $399.06 / $2,541.50 / $10,314.00	Facility		$399.06	$2,541.50	$10,314.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $972.33 / $2,610.92 / $8,694.00	Professional		$972.33	$2,610.92	$8,694.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,344.60 / $2,131.88 / $8,013.25	Professional		$1,344.60	$2,131.88	$8,013.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.06 / $2,541.50 / $10,314.00	Facility		$399.06	$2,541.50	$10,314.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $2,131.88 / $9,071.45	Professional		$1,245.00	$2,131.88	$9,071.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,119.00 / $3,514.74 / $7,584.20	Professional		$2,119.00	$3,514.74	$7,584.20