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 $1,642.14 / $1,642.14 / $1,901.01	Professional		$1,642.14	$1,642.14	$1,901.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.14 / $1,099.14 / $1,099.14	Professional		$1,099.14	$1,099.14	$1,099.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.76 / $1,642.14 / $2,348.26	Facility		$422.76	$1,642.14	$2,348.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $867.70 / $2,253.30 / $2,804.95	Professional		$867.70	$2,253.30	$2,804.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,341.25 / $1,555.85 / $1,963.59	Professional		$1,341.25	$1,555.85	$1,963.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.76 / $1,642.14 / $2,348.26	Facility		$422.76	$1,642.14	$2,348.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.68 / $1,452.00 / $2,035.99	Professional		$433.68	$1,452.00	$2,035.99
United Facility/Professional Professional Modifier Low / Median / High Price $808.94 / $879.32 / $1,860.56	Professional		$808.94	$879.32	$1,860.56