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 $3,398.20 / $3,398.20 / $4,389.93	Professional		$3,398.20	$3,398.20	$4,389.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,406.26 / $2,406.26 / $2,406.26	Professional		$2,406.26	$2,406.26	$2,406.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $881.23 / $3,398.20 / $4,859.43	Facility		$881.23	$3,398.20	$4,859.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.25 / $4,519.20 / $5,810.09	Professional		$1,740.25	$4,519.20	$5,810.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,690.00 / $3,120.40 / $4,329.60	Professional		$2,690.00	$3,120.40	$4,329.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $881.23 / $3,398.20 / $4,859.43	Facility		$881.23	$3,398.20	$4,859.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.98 / $3,087.00 / $4,417.63	Professional		$940.98	$3,087.00	$4,417.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,846.42 / $1,925.00 / $4,296.54	Professional		$1,846.42	$1,925.00	$4,296.54