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 $2,659.37 / $2,659.37 / $3,734.29	Professional		$2,659.37	$2,659.37	$3,734.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,972.78 / $1,972.78 / $1,972.78	Professional		$1,972.78	$1,972.78	$1,972.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $712.53 / $2,659.37 / $3,802.90	Facility		$712.53	$2,659.37	$3,802.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.08 / $3,511.20 / $4,663.10	Professional		$1,352.08	$3,511.20	$4,663.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,090.00 / $2,424.40 / $3,614.60	Professional		$2,090.00	$2,424.40	$3,614.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $712.53 / $2,659.37 / $3,802.90	Facility		$712.53	$2,659.37	$3,802.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $778.05 / $2,446.50 / $3,652.74	Professional		$778.05	$2,446.50	$3,652.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,414.22 / $2,367.33 / $3,654.84	Professional		$1,414.22	$2,367.33	$3,654.84