Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,577.00 / $14,552.94	Facility		$2,236.00	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.82 / $2,979.69 / $3,356.97	Professional		$770.82	$2,979.69	$3,356.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,181.88 / $2,181.88 / $2,181.88	Professional		$2,181.88	$2,181.88	$2,181.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.17 / $2,979.69 / $4,260.96	Facility		$801.17	$2,979.69	$4,260.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.88 / $4,040.40 / $5,238.16	Professional		$1,555.88	$4,040.40	$5,238.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,405.00 / $2,789.80 / $4,061.20	Professional		$2,405.00	$2,789.80	$4,061.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.17 / $2,979.69 / $4,260.96	Facility		$801.17	$2,979.69	$4,260.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $2,755.50 / $4,103.20	Professional		$874.00	$2,755.50	$4,103.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,618.71 / $2,618.25 / $4,032.82	Professional		$1,618.71	$2,618.25	$4,032.82