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 $2,014.47 / $2,014.47 / $2,514.88	Professional		$2,014.47	$2,014.47	$2,514.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.17 / $1,401.17 / $1,401.17	Professional		$1,401.17	$1,401.17	$1,401.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $2,014.47 / $2,880.69	Facility		$521.16	$2,014.47	$2,880.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.18 / $2,709.00 / $3,444.48	Professional		$1,043.18	$2,709.00	$3,444.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.50 / $1,870.50 / $2,503.60	Professional		$1,612.50	$1,870.50	$2,503.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $2,014.47 / $2,880.69	Facility		$521.16	$2,014.47	$2,880.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $551.48 / $1,816.50 / $2,589.03	Professional		$551.48	$1,816.50	$2,589.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.21 / $1,120.94 / $2,461.37	Professional		$1,109.21	$1,120.94	$2,461.37