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 $2,155.64 / $2,171.48 / $2,717.35	Professional		$2,155.64	$2,171.48	$2,717.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.09 / $1,407.09 / $1,407.09	Professional		$1,407.09	$1,407.09	$1,407.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.05 / $2,171.48 / $3,105.22	Facility		$477.05	$2,171.48	$3,105.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $944.53 / $2,452.80 / $3,123.84	Professional		$944.53	$2,452.80	$3,123.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,460.00 / $1,693.60 / $2,776.35	Professional		$1,460.00	$1,693.60	$2,776.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.05 / $2,171.48 / $3,105.22	Facility		$477.05	$2,171.48	$3,105.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.96 / $1,830.00 / $2,886.75	Professional		$413.96	$1,830.00	$2,886.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.68 / $1,688.52 / $2,659.54	Professional		$1,125.68	$1,688.52	$2,659.54