Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.24 / $10,900.00 / $14,552.94	Facility		$1,296.24	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,141.37 / $2,141.37 / $2,891.16	Professional		$2,141.37	$2,141.37	$2,891.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.22 / $1,510.22 / $1,510.22	Professional		$1,510.22	$1,510.22	$1,510.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $545.02 / $2,141.37 / $3,062.16	Facility		$545.02	$2,141.37	$3,062.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.40 / $2,958.90 / $3,571.56	Professional		$1,139.40	$2,958.90	$3,571.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,761.25 / $2,071.50 / $3,051.40	Professional		$1,761.25	$2,071.50	$3,051.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.02 / $2,141.37 / $3,062.16	Facility		$545.02	$2,141.37	$3,062.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $659.30 / $2,034.00 / $3,095.24	Professional		$659.30	$2,034.00	$3,095.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,201.14 / $1,822.67 / $2,829.64	Professional		$1,201.14	$1,822.67	$2,829.64