Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,572.13 / $3,572.13 / $4,949.05	Professional		$3,572.13	$3,572.13	$4,949.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,621.27 / $2,621.27 / $2,621.27	Professional		$2,621.27	$2,621.27	$2,621.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $959.85 / $3,572.13 / $5,108.14	Facility		$959.85	$3,572.13	$5,108.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,859.13 / $4,827.89 / $6,276.60	Professional		$1,859.13	$4,827.89	$6,276.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,873.75 / $3,333.55 / $4,868.60	Professional		$2,873.75	$3,333.55	$4,868.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $959.85 / $3,572.13 / $5,108.14	Facility		$959.85	$3,572.13	$5,108.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,048.80 / $3,304.50 / $4,923.84	Professional		$1,048.80	$3,304.50	$4,923.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,936.63 / $3,145.53 / $4,843.75	Professional		$1,936.63	$3,145.53	$4,843.75