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 $1,954.57 / $1,954.57 / $2,697.80	Professional		$1,954.57	$1,954.57	$2,697.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.47 / $1,427.47 / $1,427.47	Professional		$1,427.47	$1,427.47	$1,427.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $526.13 / $1,954.57 / $2,795.04	Facility		$526.13	$1,954.57	$2,795.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,030.23 / $2,675.40 / $3,441.43	Professional		$1,030.23	$2,675.40	$3,441.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,592.50 / $1,847.30 / $2,679.60	Professional		$1,592.50	$1,847.30	$2,679.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.13 / $1,954.57 / $2,795.04	Facility		$526.13	$1,954.57	$2,795.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.13 / $1,816.50 / $2,709.45	Professional		$577.13	$1,816.50	$2,709.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.54 / $1,712.97 / $2,640.40	Professional		$1,070.54	$1,712.97	$2,640.40