Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,635.57 / $2,784.00 / $3,223.87	Professional		$2,635.57	$2,784.00	$3,223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.48 / $1,710.48 / $1,710.48	Professional		$1,710.48	$1,710.48	$1,710.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.89 / $2,784.00 / $3,981.12	Facility		$627.89	$2,784.00	$3,981.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.28 / $3,168.90 / $4,109.95	Professional		$1,220.28	$3,168.90	$4,109.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,886.25 / $2,188.05 / $3,179.00	Professional		$1,886.25	$2,188.05	$3,179.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.89 / $2,784.00 / $3,981.12	Facility		$627.89	$2,784.00	$3,981.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $683.53 / $2,163.00 / $3,208.97	Professional		$683.53	$2,163.00	$3,208.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,269.88 / $2,064.34 / $4,452.51	Professional		$1,269.88	$2,064.34	$4,452.51