Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,107.81 / $7,902.26 / $10,456.50	Professional		$2,107.81	$7,902.26	$10,456.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.20 / $1,300.20 / $5,739.50	Professional		$1,300.20	$1,300.20	$5,739.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.49 / $2,950.93 / $12,910.02	Facility		$460.49	$2,950.93	$12,910.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.15 / $3,018.67 / $10,821.30	Professional		$1,044.15	$3,018.67	$10,821.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,447.20 / $2,401.71 / $10,533.90	Professional		$1,447.20	$2,401.71	$10,533.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.49 / $2,950.93 / $12,910.02	Facility		$460.49	$2,950.93	$12,910.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $2,463.23 / $11,735.76	Professional		$1,340.00	$2,463.23	$11,735.76
United Facility/Professional Professional Modifier Low / Median / High Price $4,306.72 / $5,400.00 / $9,905.45	Professional		$4,306.72	$5,400.00	$9,905.45