Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.38 / $5,644.33 / $5,644.33	Professional		$1,080.38	$5,644.33	$5,644.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,412.75 / $3,412.75 / $3,412.75	Professional		$3,412.75	$3,412.75	$3,412.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.88 / $5,644.33 / $8,071.39	Facility		$1,238.88	$5,644.33	$8,071.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,367.78 / $6,148.80 / $8,126.63	Professional		$2,367.78	$6,148.80	$8,126.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,660.00 / $4,245.60 / $6,531.67	Professional		$3,660.00	$4,245.60	$6,531.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,238.88 / $5,644.33 / $8,071.39	Facility		$1,238.88	$5,644.33	$8,071.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.89 / $4,240.50 / $6,975.78	Professional		$973.89	$4,240.50	$6,975.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,730.20 / $4,095.30 / $6,398.00	Professional		$2,730.20	$4,095.30	$6,398.00