Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,713.78 / $13,413.92 / $20,143.00	Facility		$2,713.78	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.37 / $4,375.52 / $4,797.72	Professional		$999.37	$4,375.52	$4,797.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,118.73 / $3,118.73 / $3,118.73	Professional		$3,118.73	$3,118.73	$3,118.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $4,375.52 / $6,256.99	Facility		$1,135.89	$4,375.52	$6,256.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,231.10 / $5,793.90 / $7,485.79	Professional		$2,231.10	$5,793.90	$7,485.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,448.75 / $4,000.55 / $5,616.60	Professional		$3,448.75	$4,000.55	$5,616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $4,375.52 / $6,256.99	Facility		$1,135.89	$4,375.52	$6,256.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,221.23 / $3,984.00 / $5,733.33	Professional		$1,221.23	$3,984.00	$5,733.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,364.51 / $3,742.47 / $5,596.18	Professional		$2,364.51	$3,742.47	$5,596.18