Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,131.94 / $16,496.40 / $25,775.60	Facility		$9,131.94	$16,496.40	$25,775.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,023.50 / $16,496.40 / $25,407.40	Professional		$15,023.50	$16,496.40	$25,407.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,072.95 / $6,072.95 / $6,072.95	Facility		$6,072.95	$6,072.95	$6,072.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10,531.19 / $10,531.19 / $10,531.19	Facility		$10,531.19	$10,531.19	$10,531.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $7,078.69	Professional		$2,198.35	$2,198.35	$7,078.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,133.90 / $8,133.90 / $8,793.40	Facility		$8,133.90	$8,133.90	$8,793.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,978.52 / $4,946.29 / $4,946.29	Professional		$1,978.52	$4,946.29	$4,946.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,072.95 / $8,463.65 / $10,531.19	Facility		$6,072.95	$8,463.65	$10,531.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,045.46 / $6,045.46 / $6,045.46	Professional		$6,045.46	$6,045.46	$6,045.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $4,396.70 / $6,632.88	Professional		$2,198.35	$4,396.70	$6,632.88