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 $541.02 / $1,097.80 / $3,167.10	Professional		$541.02	$1,097.80	$3,167.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,946.79 / $1,946.79 / $1,946.79	Professional		$1,946.79	$1,946.79	$1,946.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $713.98 / $3,167.10 / $4,528.95	Facility		$713.98	$3,167.10	$4,528.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.28 / $3,607.80 / $4,673.05	Professional		$1,389.28	$3,607.80	$4,673.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,147.50 / $2,491.10 / $3,636.60	Professional		$2,147.50	$2,491.10	$3,636.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.98 / $3,167.10 / $4,528.95	Facility		$713.98	$3,167.10	$4,528.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.80 / $2,466.00 / $3,675.04	Professional		$782.80	$2,466.00	$3,675.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,446.88 / $2,349.56 / $5,067.68	Professional		$1,446.88	$2,349.56	$5,067.68