Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,310.17 / $10,483.00 / $17,811.00	Facility		$6,310.17	$10,483.00	$17,811.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,088.85 / $5,088.85 / $5,088.85	Professional		$5,088.85	$5,088.85	$5,088.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,196.41 / $4,196.41 / $4,196.41	Facility		$4,196.41	$4,196.41	$4,196.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,277.06 / $7,277.06 / $7,277.06	Facility		$7,277.06	$7,277.06	$7,277.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,519.06 / $4,891.37	Professional		$1,519.06	$1,519.06	$4,891.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,620.52 / $5,620.52 / $6,076.24	Facility		$5,620.52	$5,620.52	$6,076.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.15 / $3,417.89 / $3,417.89	Professional		$1,367.15	$3,417.89	$3,417.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,196.41 / $5,848.38 / $7,277.06	Facility		$4,196.41	$5,848.38	$7,277.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,177.41 / $4,177.41 / $4,177.41	Professional		$4,177.41	$4,177.41	$4,177.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $3,038.12 / $4,583.32	Professional		$1,519.06	$3,038.12	$4,583.32