Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $12,022.64 / $16,595.87	Facility		$2,398.83	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $3,630.78	Professional		$741.31	$1,000.00	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $5,128.61	Facility		$794.33	$1,288.25	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $5,370.32	Professional		$1,778.28	$2,290.87	$5,370.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,897.79	Professional		$3,162.28	$3,162.28	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $5,248.07	Facility		$1,288.25	$3,630.78	$5,248.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $741.31 / $2,691.53	Professional		$60.26	$741.31	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $5,370.32	Professional		$1,995.26	$2,137.96	$5,370.32