Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,244.37 / $13,086.60 / $20,447.80	Facility		$7,244.37	$13,086.60	$20,447.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,918.10 / $13,086.60 / $20,155.70	Professional		$11,918.10	$13,086.60	$20,155.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,817.67 / $4,817.67 / $4,817.67	Facility		$4,817.67	$4,817.67	$4,817.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,354.39 / $8,354.39 / $8,354.39	Facility		$8,354.39	$8,354.39	$8,354.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $5,231.85 / $5,615.52	Professional		$1,743.95	$5,231.85	$5,615.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,452.62 / $6,452.62 / $6,975.80	Facility		$6,452.62	$6,452.62	$6,975.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,569.56 / $3,923.89 / $3,923.89	Professional		$1,569.56	$3,923.89	$3,923.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,817.67 / $6,714.21 / $8,354.39	Facility		$4,817.67	$6,714.21	$8,354.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,216.95 / $3,216.95 / $3,216.95	Professional		$3,216.95	$3,216.95	$3,216.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,169.80 / $2,339.60 / $3,529.53	Professional		$1,169.80	$2,339.60	$3,529.53