Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,781.60 / $2,781.60 / $3,838.63	Professional		$2,781.60	$2,781.60	$3,838.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,035.60 / $2,035.60 / $2,035.60	Professional		$2,035.60	$2,035.60	$2,035.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.81 / $2,781.60 / $3,977.69	Facility		$747.81	$2,781.60	$3,977.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.78 / $2,243.42 / $4,138.26	Professional		$1,454.78	$2,243.42	$4,138.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,248.75 / $2,608.55 / $3,788.40	Professional		$2,248.75	$2,608.55	$3,788.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.81 / $2,781.60 / $3,977.69	Facility		$747.81	$2,781.60	$3,977.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.00 / $2,575.50 / $3,835.60	Professional		$817.00	$2,575.50	$3,835.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,897.94 / $6,897.94 / $6,897.94	Facility		$6,897.94	$6,897.94	$6,897.94
United Facility/Professional Professional Modifier Low / Median / High Price $799.08 / $1,633.46 / $3,756.96	Professional		$799.08	$1,633.46	$3,756.96