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 $3,547.74 / $3,547.74 / $3,547.74	Professional		$3,547.74	$3,547.74	$3,547.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,355.88 / $2,355.88 / $2,355.88	Professional		$2,355.88	$2,355.88	$2,355.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $903.84 / $3,547.74 / $5,073.27	Facility		$903.84	$3,547.74	$5,073.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,777.45 / $4,615.80 / $5,925.47	Professional		$1,777.45	$4,615.80	$5,925.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,747.50 / $3,187.10 / $4,325.20	Professional		$2,747.50	$3,187.10	$4,325.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $903.84 / $3,547.74 / $5,073.27	Facility		$903.84	$3,547.74	$5,073.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.85 / $2,949.00 / $4,492.31	Professional		$933.85	$2,949.00	$4,492.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,871.31 / $2,843.27 / $4,330.62	Professional		$1,871.31	$2,843.27	$4,330.62