Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.79 / $10,900.00 / $14,552.94	Facility		$1,914.79	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,028.23 / $3,028.23 / $4,194.37	Professional		$3,028.23	$3,028.23	$4,194.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,222.26 / $2,222.26 / $2,222.26	Professional		$2,222.26	$2,222.26	$2,222.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $813.61 / $3,028.23 / $4,330.37	Facility		$813.61	$3,028.23	$4,330.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,580.93 / $4,105.50 / $5,321.29	Professional		$1,580.93	$4,105.50	$5,321.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,443.75 / $2,834.75 / $4,138.20	Professional		$2,443.75	$2,834.75	$4,138.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $813.61 / $3,028.23 / $4,330.37	Facility		$813.61	$3,028.23	$4,330.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.05 / $2,809.50 / $4,187.93	Professional		$892.05	$2,809.50	$4,187.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.22 / $2,666.73 / $4,105.13	Professional		$1,646.22	$2,666.73	$4,105.13