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 / $14,552.94	Facility		$3,741.00	$10,480.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.76 / $2,902.86 / $13,842.47	Professional		$482.76	$2,902.86	$13,842.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.61 / $1,531.61 / $9,898.81	Professional		$1,531.61	$1,531.61	$9,898.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.59 / $3,456.75 / $19,379.46	Facility		$538.59	$3,456.75	$19,379.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.85 / $3,535.74 / $16,266.60	Professional		$1,249.85	$3,535.74	$16,266.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,733.40 / $3,003.75 / $18,447.31	Professional		$1,733.40	$3,003.75	$18,447.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.59 / $3,456.75 / $19,379.46	Facility		$538.59	$3,456.75	$19,379.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,605.00 / $3,094.00 / $24,901.93	Professional		$1,605.00	$3,094.00	$24,901.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,334.00 / $8,954.26 / $20,594.80	Professional		$2,334.00	$8,954.26	$20,594.80