Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.37 / $8,303.41 / $13,413.92	Facility		$1,996.37	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.12 / $3,297.98 / $3,297.98	Professional		$643.12	$3,297.98	$3,297.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.08 / $2,267.73 / $3,009.77	Professional		$1,701.08	$2,267.73	$3,009.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $664.79 / $3,297.98 / $4,617.17	Facility		$664.79	$3,297.98	$4,617.17
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 / $3,297.98 / $4,617.17	Facility		$664.79	$3,297.98	$4,617.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,035.80 / $3,094.35 / $4,560.85	Professional		$1,035.80	$3,094.35	$4,560.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.61 / $2,736.88 / $4,127.26	Professional		$1,808.61	$2,736.88	$4,127.26