Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,310.40 / $2,310.40 / $3,243.75	Professional		$2,310.40	$2,310.40	$3,243.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,713.86 / $1,713.86 / $1,713.86	Professional		$1,713.86	$1,713.86	$1,713.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.39 / $2,310.40 / $3,303.87	Facility		$619.39	$2,310.40	$3,303.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.80 / $3,053.40 / $4,056.26	Professional		$1,175.80	$3,053.40	$4,056.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,817.50 / $2,108.30 / $3,141.60	Professional		$1,817.50	$2,108.30	$3,141.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.39 / $2,310.40 / $3,303.87	Facility		$619.39	$2,310.40	$3,303.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $675.93 / $2,127.00 / $3,173.29	Professional		$675.93	$2,127.00	$3,173.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,229.52 / $2,056.62 / $3,174.74	Professional		$1,229.52	$2,056.62	$3,174.74