Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.75 / $3,287.62 / $3,287.62	Professional		$634.75	$3,287.62	$3,287.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.08 / $2,267.73 / $2,992.27	Professional		$1,701.08	$2,267.73	$2,992.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $664.79 / $3,287.62 / $4,602.67	Facility		$664.79	$3,287.62	$4,602.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.78 / $2,080.53 / $4,223.68	Professional		$1,733.78	$2,080.53	$4,223.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,205.50 / $3,108.80 / $3,992.00	Professional		$2,205.50	$3,108.80	$3,992.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.79 / $3,287.62 / $4,602.67	Facility		$664.79	$3,287.62	$4,602.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,035.80 / $3,070.83 / $4,560.85	Professional		$1,035.80	$3,070.83	$4,560.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,807.16 / $3,628.36 / $4,535.45	Professional		$1,807.16	$3,628.36	$4,535.45