Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,446.21 / $2,446.21 / $3,281.02	Professional		$2,446.21	$2,446.21	$3,281.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,740.82 / $1,740.82 / $1,740.82	Professional		$1,740.82	$1,740.82	$1,740.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.67 / $2,446.21 / $3,498.08	Facility		$624.67	$2,446.21	$3,498.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.13 / $3,280.20 / $4,107.03	Professional		$1,263.13	$3,280.20	$4,107.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,639.05 / $2,264.90 / $3,326.40	Professional		$1,639.05	$2,264.90	$3,326.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.67 / $2,446.21 / $3,498.08	Facility		$624.67	$2,446.21	$3,498.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $715.35 / $1,951.25 / $3,358.38	Professional		$715.35	$1,951.25	$3,358.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,335.19 / $1,396.18 / $3,890.89	Professional		$1,335.19	$1,396.18	$3,890.89