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 $765.90 / $899.44 / $5,615.27	Professional		$765.90	$899.44	$5,615.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.85 / $1,112.85 / $3,162.23	Professional		$1,112.85	$1,112.85	$3,162.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.33 / $1,525.81 / $8,029.84	Facility		$1,238.33	$1,525.81	$8,029.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,468.85 / $2,962.62 / $6,931.11	Professional		$2,468.85	$2,962.62	$6,931.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,348.75 / $4,176.89 / $5,586.99	Professional		$3,348.75	$4,176.89	$5,586.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,525.81 / $1,525.81 / $8,029.84	Facility		$1,525.81	$1,525.81	$8,029.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,077.00 / $4,334.55 / $5,962.50	Professional		$1,077.00	$4,334.55	$5,962.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.92 / $2,529.78 / $7,660.58	Professional		$1,090.92	$2,529.78	$7,660.58