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 $3,622.50 / $3,839.33 / $4,454.93	Professional		$3,622.50	$3,839.33	$4,454.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,361.40 / $2,361.40 / $2,361.40	Professional		$2,361.40	$2,361.40	$2,361.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $864.55 / $3,839.33 / $5,490.24	Facility		$864.55	$3,839.33	$5,490.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.93 / $4,347.00 / $5,657.73	Professional		$1,673.93	$4,347.00	$5,657.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,587.50 / $3,001.50 / $4,380.20	Professional		$2,587.50	$3,001.50	$4,380.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $864.55 / $3,839.33 / $5,490.24	Facility		$864.55	$3,839.33	$5,490.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $943.83 / $2,976.00 / $4,431.01	Professional		$943.83	$2,976.00	$4,431.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,745.89 / $2,849.94 / $6,146.92	Professional		$1,745.89	$2,849.94	$6,146.92