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 $874.23 / $4,362.89 / $4,362.89	Professional		$874.23	$4,362.89	$4,362.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,246.77 / $3,008.95 / $4,049.97	Professional		$2,246.77	$3,008.95	$4,049.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $874.23 / $4,362.89 / $6,108.05	Facility		$874.23	$4,362.89	$6,108.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,378.28 / $2,853.93 / $5,793.77	Professional		$2,378.28	$2,853.93	$5,793.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,010.70 / $4,264.45 / $5,566.00	Professional		$3,010.70	$4,264.45	$5,566.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.91 / $4,362.89 / $6,108.05	Facility		$911.91	$4,362.89	$6,108.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,372.21 / $4,105.50 / $6,359.16	Professional		$1,372.21	$4,105.50	$6,359.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,204.63 / $2,437.30 / $5,476.29	Professional		$1,204.63	$2,437.30	$5,476.29