Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.39 / $743.75 / $3,688.27	Professional		$658.39	$743.75	$3,688.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.76 / $1,030.43 / $4,552.01	Professional		$599.76	$1,030.43	$4,552.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.43 / $3,688.27 / $5,274.23	Facility		$666.43	$3,688.27	$5,274.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $637.40 / $910.58 / $910.58	Professional		$637.40	$910.58	$910.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,744.47 / $3,060.45 / $4,984.20	Professional		$1,744.47	$3,060.45	$4,984.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $666.43 / $3,688.27 / $5,274.23	Facility		$666.43	$3,688.27	$5,274.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.06 / $2,925.00 / $4,380.35	Professional		$1,122.06	$2,925.00	$4,380.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.22 / $1,675.81 / $3,533.49	Professional		$1,272.22	$1,675.81	$3,533.49