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 $726.24 / $857.92 / $4,353.32	Professional		$726.24	$857.92	$4,353.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,645.92 / $2,645.92 / $2,645.92	Professional		$2,645.92	$2,645.92	$2,645.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $984.98 / $4,353.32 / $6,225.25	Facility		$984.98	$4,353.32	$6,225.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,907.63 / $4,953.89 / $6,413.55	Professional		$1,907.63	$4,953.89	$6,413.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,948.75 / $3,420.55 / $4,870.80	Professional		$2,948.75	$3,420.55	$4,870.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.98 / $4,353.32 / $6,225.25	Facility		$984.98	$4,353.32	$6,225.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,051.65 / $3,330.00 / $4,937.22	Professional		$1,051.65	$3,330.00	$4,937.22
United Facility/Professional Facility Modifier Low / Median / High Price $10,167.24 / $10,167.24 / $10,167.24	Facility		$10,167.24	$10,167.24	$10,167.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,977.85 / $3,193.32 / $6,887.57	Professional		$1,977.85	$3,193.32	$6,887.57