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 $339.53 / $1,664.87 / $1,940.54	Professional		$339.53	$1,664.87	$1,940.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.34 / $1,026.34 / $1,026.34	Professional		$1,026.34	$1,026.34	$1,026.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,664.87 / $2,380.76	Facility		$375.00	$1,664.87	$2,380.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $727.00 / $1,887.90 / $2,453.69	Professional		$727.00	$1,887.90	$2,453.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.75 / $1,303.55 / $1,911.80	Professional		$1,123.75	$1,303.55	$1,911.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,664.87 / $2,380.76	Facility		$375.00	$1,664.87	$2,380.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.35 / $1,296.00 / $1,931.18	Professional		$411.35	$1,296.00	$1,931.18
United Facility/Professional Professional Modifier Low / Median / High Price $758.66 / $1,238.69 / $2,671.68	Professional		$758.66	$1,238.69	$2,671.68