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 $1,582.13 / $1,582.13 / $1,926.58	Professional		$1,582.13	$1,582.13	$1,926.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.72 / $1,086.72 / $1,086.72	Professional		$1,086.72	$1,086.72	$1,086.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $409.45 / $1,582.13 / $2,262.44	Facility		$409.45	$1,582.13	$2,262.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $828.88 / $2,152.50 / $2,704.39	Professional		$828.88	$2,152.50	$2,704.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,281.25 / $1,486.25 / $1,931.60	Professional		$1,281.25	$1,486.25	$1,931.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.45 / $1,582.13 / $2,262.44	Facility		$409.45	$1,582.13	$2,262.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.45 / $1,420.50 / $2,011.46	Professional		$428.45	$1,420.50	$2,011.46
United Facility/Professional Professional Modifier Low / Median / High Price $819.82 / $1,304.07 / $1,885.59	Professional		$819.82	$1,304.07	$1,885.59