Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,822.70 / $10,175.36 / $13,413.92	Facility		$1,822.70	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,266.46 / $2,960.72 / $3,288.74	Professional		$2,266.46	$2,960.72	$3,288.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.10 / $1,510.10 / $1,966.04	Professional		$1,510.10	$1,510.10	$1,966.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.04 / $3,051.20 / $4,271.68	Facility		$572.04	$3,051.20	$4,271.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.78 / $2,998.80 / $4,230.60	Professional		$1,154.78	$2,998.80	$4,230.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,919.70 / $2,654.10 / $3,920.40	Professional		$1,919.70	$2,654.10	$3,920.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.04 / $3,051.20 / $4,271.68	Facility		$572.04	$3,051.20	$4,271.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $924.73 / $2,423.75 / $4,054.14	Professional		$924.73	$2,423.75	$4,054.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,572.82 / $1,581.58 / $2,372.76	Professional		$1,572.82	$1,581.58	$2,372.76