Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,384.78 / $11,533.80 / $18,021.59	Facility		$6,384.78	$11,533.80	$18,021.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,504.00 / $11,533.80 / $17,764.09	Professional		$10,504.00	$11,533.80	$17,764.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,246.01 / $4,246.01 / $4,246.01	Facility		$4,246.01	$4,246.01	$4,246.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,363.10 / $7,363.10 / $7,363.10	Facility		$7,363.10	$7,363.10	$7,363.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $4,949.20	Professional		$1,537.02	$1,537.02	$4,949.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,686.97 / $5,686.97 / $6,148.08	Facility		$5,686.97	$5,686.97	$6,148.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,383.32 / $3,458.30 / $3,458.30	Professional		$1,383.32	$3,458.30	$3,458.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,246.01 / $5,917.53 / $7,363.10	Facility		$4,246.01	$5,917.53	$7,363.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,226.81 / $4,226.81 / $4,226.81	Professional		$4,226.81	$4,226.81	$4,226.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $3,074.04 / $4,637.51	Professional		$1,537.02	$3,074.04	$4,637.51