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 $1,360.46 / $1,360.46 / $1,907.45	Professional		$1,360.46	$1,360.46	$1,907.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.26 / $1,006.26 / $1,006.26	Professional		$1,006.26	$1,006.26	$1,006.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.82 / $1,360.46 / $1,945.46	Facility		$364.82	$1,360.46	$1,945.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.45 / $1,806.00 / $2,387.91	Professional		$695.45	$1,806.00	$2,387.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,247.00 / $1,854.60	Professional		$1,075.00	$1,247.00	$1,854.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $364.82 / $1,360.46 / $1,945.46	Facility		$364.82	$1,360.46	$1,945.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.05 / $1,252.50 / $1,868.74	Professional		$398.05	$1,252.50	$1,868.74
United Facility/Professional Professional Modifier Low / Median / High Price $726.89 / $1,207.53 / $1,866.86	Professional		$726.89	$1,207.53	$1,866.86