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 $1,706.18 / $6,844.99 / $8,716.99	Professional		$1,706.18	$6,844.99	$8,716.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.67 / $1,052.67 / $4,776.81	Professional		$1,052.67	$1,052.67	$4,776.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $373.91 / $2,388.65 / $11,071.28	Facility		$373.91	$2,388.65	$11,071.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $853.95 / $2,449.01 / $9,310.45	Professional		$853.95	$2,449.01	$9,310.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $2,090.25 / $8,784.98	Professional		$1,182.59	$2,090.25	$8,784.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.91 / $2,388.65 / $11,071.28	Facility		$373.91	$2,388.65	$11,071.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,095.00 / $2,087.26 / $9,678.20	Professional		$1,095.00	$2,087.26	$9,678.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,223.00 / $3,821.44 / $7,929.89	Professional		$2,223.00	$3,821.44	$7,929.89