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 $3,204.94 / $3,204.94 / $4,114.52	Professional		$3,204.94	$3,204.94	$4,114.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,167.67 / $2,167.67 / $2,167.67	Professional		$2,167.67	$2,167.67	$2,167.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $793.32 / $3,204.94 / $4,583.06	Facility		$793.32	$3,204.94	$4,583.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,617.33 / $4,200.00 / $5,247.58	Professional		$1,617.33	$4,200.00	$5,247.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,900.00 / $4,254.80	Professional		$2,500.00	$2,900.00	$4,254.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $793.32 / $3,204.94 / $4,583.06	Facility		$793.32	$3,204.94	$4,583.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $916.75 / $2,865.00 / $4,303.89	Professional		$916.75	$2,865.00	$4,303.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,728.70 / $1,750.86 / $2,616.13	Professional		$1,728.70	$1,750.86	$2,616.13