Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,590.55 / $2,590.55 / $3,223.68	Professional		$2,590.55	$2,590.55	$3,223.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,719.97 / $1,719.97 / $1,719.97	Professional		$1,719.97	$1,719.97	$1,719.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $637.44 / $2,590.55 / $3,704.49	Facility		$637.44	$2,590.55	$3,704.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.20 / $3,444.00 / $4,235.92	Professional		$1,326.20	$3,444.00	$4,235.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,050.00 / $2,378.00 / $3,390.20	Professional		$2,050.00	$2,378.00	$3,390.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $637.44 / $2,590.55 / $3,704.49	Facility		$637.44	$2,590.55	$3,704.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.83 / $2,314.50 / $3,449.81	Professional		$734.83	$2,314.50	$3,449.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,371.78 / $1,375.98 / $2,075.81	Professional		$1,371.78	$1,375.98	$2,075.81