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 $1,417.25 / $3,999.19 / $4,641.34	Professional		$1,417.25	$3,999.19	$4,641.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,459.98 / $2,459.98 / $2,459.98	Professional		$2,459.98	$2,459.98	$2,459.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $900.72 / $3,999.19 / $5,718.84	Facility		$900.72	$3,999.19	$5,718.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.48 / $4,527.60 / $5,893.42	Professional		$1,743.48	$4,527.60	$5,893.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,695.00 / $3,126.20 / $4,562.80	Professional		$2,695.00	$3,126.20	$4,562.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.72 / $3,999.19 / $5,718.84	Facility		$900.72	$3,999.19	$5,718.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $982.78 / $3,099.00 / $4,613.87	Professional		$982.78	$3,099.00	$4,613.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,818.04 / $2,968.90 / $6,403.52	Professional		$1,818.04	$2,968.90	$6,403.52