Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,513.00 / $9,687.67 / $16,766.88	Facility		$4,513.00	$9,687.67	$16,766.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.58 / $1,551.94 / $3,389.84	Professional		$688.58	$1,551.94	$3,389.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.99 / $1,481.99 / $2,255.85	Professional		$1,481.99	$1,481.99	$2,255.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $799.50 / $1,551.94 / $2,219.27	Facility		$799.50	$1,551.94	$2,219.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.58 / $2,168.32 / $5,248.36	Professional		$1,565.58	$2,168.32	$5,248.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,420.00 / $2,807.20 / $3,902.00	Professional		$2,420.00	$2,807.20	$3,902.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.50 / $1,551.94 / $2,219.27	Facility		$799.50	$1,551.94	$2,219.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $922.45 / $2,893.50 / $4,423.76	Professional		$922.45	$2,893.50	$4,423.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,804.68 / $1,812.22 / $3,263.95	Professional		$1,804.68	$1,812.22	$3,263.95