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 $663.37 / $3,749.75 / $3,749.75	Professional		$663.37	$3,749.75	$3,749.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.95 / $721.95 / $2,245.37	Professional		$721.95	$721.95	$2,245.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $824.66 / $993.36 / $5,362.14	Facility		$824.66	$993.36	$5,362.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,636.73 / $1,964.07 / $4,726.21	Professional		$1,636.73	$1,964.07	$4,726.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,433.75 / $2,732.40 / $3,703.92	Professional		$2,433.75	$2,732.40	$3,703.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.36 / $993.36 / $5,362.14	Facility		$993.36	$993.36	$5,362.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.95 / $3,197.70 / $4,392.00	Professional		$721.95	$3,197.70	$4,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.08 / $1,796.30 / $5,439.48	Professional		$799.08	$1,796.30	$5,439.48