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 $2,226.61 / $2,342.71 / $2,712.37	Professional		$2,226.61	$2,342.71	$2,712.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.61 / $1,434.61 / $1,434.61	Professional		$1,434.61	$1,434.61	$1,434.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $528.59 / $2,342.71 / $3,350.08	Facility		$528.59	$2,342.71	$3,350.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.48 / $2,683.80 / $3,457.61	Professional		$1,033.48	$2,683.80	$3,457.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,597.50 / $1,853.10 / $2,690.60	Professional		$1,597.50	$1,853.10	$2,690.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.59 / $2,342.71 / $3,350.08	Facility		$528.59	$2,342.71	$3,350.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.03 / $1,822.50 / $2,718.37	Professional		$579.03	$1,822.50	$2,718.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.84 / $1,731.40 / $3,734.38	Professional		$1,074.84	$1,731.40	$3,734.38