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 $3,711.54 / $3,922.60 / $4,571.13	Professional		$3,711.54	$3,922.60	$4,571.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,419.17 / $2,419.17 / $2,419.17	Professional		$2,419.17	$2,419.17	$2,419.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $3,922.60 / $5,609.32	Facility		$883.74	$3,922.60	$5,609.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,710.33 / $4,441.50 / $5,782.99	Professional		$1,710.33	$4,441.50	$5,782.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,643.75 / $3,066.75 / $4,496.80	Professional		$2,643.75	$3,066.75	$4,496.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.74 / $3,922.60 / $5,609.32	Facility		$883.74	$3,922.60	$5,609.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.10 / $3,049.50 / $4,540.28	Professional		$967.10	$3,049.50	$4,540.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,782.83 / $2,919.66 / $6,297.32	Professional		$1,782.83	$2,919.66	$6,297.32