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 $3,985.23 / $3,985.23 / $4,961.79	Professional		$3,985.23	$3,985.23	$4,961.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,656.05 / $2,656.05 / $2,656.05	Professional		$2,656.05	$2,656.05	$2,656.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $982.11 / $3,985.23 / $5,698.88	Facility		$982.11	$3,985.23	$5,698.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,018.43 / $5,241.60 / $6,514.30	Professional		$2,018.43	$5,241.60	$6,514.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,120.00 / $3,619.20 / $5,156.80	Professional		$3,120.00	$3,619.20	$5,156.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $982.11 / $3,985.23 / $5,698.88	Facility		$982.11	$3,985.23	$5,698.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,121.00 / $3,534.00 / $5,262.80	Professional		$1,121.00	$3,534.00	$5,262.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,111.40 / $2,124.84 / $3,205.54	Professional		$2,111.40	$2,124.84	$3,205.54