Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,786.45 / $9,813.00 / $14,552.94	Facility		$2,786.45	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.84 / $825.17 / $5,351.96	Professional		$702.84	$825.17	$5,351.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.57 / $1,153.57 / $2,955.32	Professional		$1,153.57	$1,153.57	$2,955.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.82 / $1,454.56 / $7,653.30	Facility		$1,176.82	$1,454.56	$7,653.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,819.01 / $6,567.02	Professional		$2,349.17	$2,819.01	$6,567.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,085.00 / $3,985.20 / $5,316.15	Professional		$3,085.00	$3,985.20	$5,316.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,454.56 / $1,454.56 / $7,653.30	Facility		$1,454.56	$1,454.56	$7,653.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,013.00 / $3,968.25 / $5,458.50	Professional		$1,013.00	$3,968.25	$5,458.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.16 / $2,364.26 / $7,159.36	Professional		$1,017.16	$2,364.26	$7,159.36