Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,363.92 / $2,363.92 / $2,890.55	Professional		$2,363.92	$2,363.92	$2,890.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,615.18 / $1,615.18 / $1,615.18	Professional		$1,615.18	$1,615.18	$1,615.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $623.05 / $2,363.92 / $3,380.42	Facility		$623.05	$2,363.92	$3,380.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.93 / $2,274.00 / $3,426.17	Professional		$1,225.93	$2,274.00	$3,426.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,895.00 / $2,184.00 / $2,838.00	Professional		$1,895.00	$2,184.00	$2,838.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.05 / $3,238.58 / $3,380.42	Facility		$623.05	$3,238.58	$3,380.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $759.92 / $2,047.50 / $2,956.98	Professional		$759.92	$2,047.50	$2,956.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.02 / $1,344.34 / $2,829.05	Professional		$1,230.02	$1,344.34	$2,829.05