Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,811.21 / $2,955.16 / $3,429.64	Professional		$2,811.21	$2,955.16	$3,429.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.06 / $1,816.06 / $1,816.06	Professional		$1,816.06	$1,816.06	$1,816.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.75 / $2,955.16 / $4,225.88	Facility		$666.75	$2,955.16	$4,225.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.33 / $3,376.80 / $4,363.32	Professional		$1,300.33	$3,376.80	$4,363.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,010.00 / $2,331.60 / $3,394.60	Professional		$2,010.00	$2,331.60	$3,394.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $666.75 / $2,955.16 / $4,225.88	Facility		$666.75	$2,955.16	$4,225.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.50 / $2,304.00 / $3,434.20	Professional		$731.50	$2,304.00	$3,434.20
United Facility/Professional Facility Modifier Low / Median / High Price $10,167.24 / $10,167.24 / $10,167.24	Facility		$10,167.24	$10,167.24	$10,167.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,352.36 / $2,191.76 / $4,727.33	Professional		$1,352.36	$2,191.76	$4,727.33