Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,072.09 / $14,581.80 / $22,784.10	Facility		$8,072.09	$14,581.80	$22,784.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,279.90 / $14,581.80 / $22,458.60	Professional		$13,279.90	$14,581.80	$22,458.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,368.13 / $5,368.13 / $5,368.13	Facility		$5,368.13	$5,368.13	$5,368.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9,308.94 / $9,308.94 / $9,308.94	Facility		$9,308.94	$9,308.94	$9,308.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.21 / $1,943.21 / $6,257.14	Professional		$1,943.21	$1,943.21	$6,257.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,189.88 / $7,189.88 / $7,772.84	Facility		$7,189.88	$7,189.88	$7,772.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.89 / $4,372.22 / $4,372.22	Professional		$1,748.89	$4,372.22	$4,372.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,368.13 / $7,481.36 / $9,308.94	Facility		$5,368.13	$7,481.36	$9,308.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,343.83 / $5,343.83 / $5,343.83	Professional		$5,343.83	$5,343.83	$5,343.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,943.21 / $3,886.42 / $5,863.07	Professional		$1,943.21	$3,886.42	$5,863.07