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 $2,671.35 / $2,671.35 / $3,387.52	Professional		$2,671.35	$2,671.35	$3,387.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,857.02 / $1,857.02 / $1,857.02	Professional		$1,857.02	$1,857.02	$1,857.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.88 / $2,671.35 / $3,820.03	Facility		$691.88	$2,671.35	$3,820.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.53 / $3,572.10 / $4,566.77	Professional		$1,375.53	$3,572.10	$4,566.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,126.25 / $2,466.44 / $3,357.20	Professional		$2,126.25	$2,466.44	$3,357.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.88 / $2,671.35 / $3,820.03	Facility		$691.88	$2,671.35	$3,820.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $737.68 / $2,377.50 / $3,463.19	Professional		$737.68	$2,377.50	$3,463.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,441.50 / $2,228.42 / $3,315.45	Professional		$1,441.50	$2,228.42	$3,315.45