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 $1,832.39 / $1,923.92 / $2,222.02	Professional		$1,832.39	$1,923.92	$2,222.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.73 / $1,176.73 / $1,176.73	Professional		$1,176.73	$1,176.73	$1,176.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.48 / $1,923.92 / $2,751.21	Facility		$434.48	$1,923.92	$2,751.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $852.33 / $2,213.40 / $2,840.44	Professional		$852.33	$2,213.40	$2,840.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.50 / $1,528.30 / $2,208.80	Professional		$1,317.50	$1,528.30	$2,208.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.48 / $1,923.92 / $2,751.21	Facility		$434.48	$1,923.92	$2,751.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $471.20 / $1,498.50 / $2,212.16	Professional		$471.20	$1,498.50	$2,212.16
United Facility/Professional Professional Modifier Low / Median / High Price $884.97 / $1,420.17 / $3,063.11	Professional		$884.97	$1,420.17	$3,063.11