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 $2,058.64 / $2,058.64 / $2,573.67	Professional		$2,058.64	$2,058.64	$2,573.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.02 / $1,433.02 / $1,433.02	Professional		$1,433.02	$1,433.02	$1,433.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.62 / $2,058.64 / $2,943.86	Facility		$532.62	$2,058.64	$2,943.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.83 / $2,767.80 / $3,518.58	Professional		$1,065.83	$2,767.80	$3,518.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,647.50 / $1,911.10 / $2,560.80	Professional		$1,647.50	$1,911.10	$2,560.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.62 / $2,058.64 / $2,943.86	Facility		$532.62	$2,058.64	$2,943.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $561.92 / $1,857.00 / $2,638.09	Professional		$561.92	$1,857.00	$2,638.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.18 / $1,719.63 / $2,518.91	Professional		$1,095.18	$1,719.63	$2,518.91