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 $554.35 / $3,107.97 / $3,278.66	Professional		$554.35	$3,107.97	$3,278.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.84 / $2,020.84 / $2,020.84	Professional		$2,020.84	$2,020.84	$2,020.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.76 / $3,278.66 / $4,688.47	Facility		$738.76	$3,278.66	$4,688.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.95 / $3,721.20 / $4,833.34	Professional		$1,432.95	$3,721.20	$4,833.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,215.00 / $2,569.40 / $3,766.40	Professional		$2,215.00	$2,569.40	$3,766.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $738.76 / $3,278.66 / $4,688.47	Facility		$738.76	$3,278.66	$4,688.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $809.88 / $2,551.50 / $3,802.15	Professional		$809.88	$2,551.50	$3,802.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,492.42 / $2,438.90 / $5,260.38	Professional		$1,492.42	$2,438.90	$5,260.38