Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,267.03 / $2,267.03 / $3,135.93	Professional		$2,267.03	$2,267.03	$3,135.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.53 / $1,659.53 / $1,659.53	Professional		$1,659.53	$1,659.53	$1,659.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.33 / $2,267.03 / $3,241.85	Facility		$610.33	$2,267.03	$3,241.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.55 / $3,089.10 / $3,991.91	Professional		$1,189.55	$3,089.10	$3,991.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,838.75 / $2,132.94 / $3,099.80	Professional		$1,838.75	$2,132.94	$3,099.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.33 / $2,267.03 / $3,241.85	Facility		$610.33	$2,267.03	$3,241.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $667.85 / $2,101.50 / $3,135.38	Professional		$667.85	$2,101.50	$3,135.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.52 / $1,991.43 / $3,069.21	Professional		$1,235.52	$1,991.43	$3,069.21