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 $3,754.17 / $3,970.46 / $4,608.96	Professional		$3,754.17	$3,970.46	$4,608.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,441.37 / $2,441.37 / $2,441.37	Professional		$2,441.37	$2,441.37	$2,441.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $894.93 / $3,970.46 / $5,677.76	Facility		$894.93	$3,970.46	$5,677.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,736.20 / $4,508.70 / $5,856.57	Professional		$1,736.20	$4,508.70	$5,856.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,683.75 / $3,113.15 / $4,540.80	Professional		$2,683.75	$3,113.15	$4,540.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $894.93 / $3,970.46 / $5,677.76	Facility		$894.93	$3,970.46	$5,677.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.08 / $3,082.50 / $4,587.10	Professional		$977.08	$3,082.50	$4,587.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,953.10 / $2,946.46 / $4,882.75	Professional		$1,953.10	$2,946.46	$4,882.75