Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,115.00 / $16,803.90 / $28,550.40	Facility		$10,115.00	$16,803.90	$28,550.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,157.25 / $8,157.25 / $8,157.25	Professional		$8,157.25	$8,157.25	$8,157.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,726.69 / $6,726.69 / $6,726.69	Facility		$6,726.69	$6,726.69	$6,726.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11,664.87 / $11,664.87 / $11,664.87	Facility		$11,664.87	$11,664.87	$11,664.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $2,435.00 / $7,840.70	Professional		$2,435.00	$2,435.00	$7,840.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,009.50 / $9,009.50 / $9,740.00	Facility		$9,009.50	$9,009.50	$9,740.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,191.50 / $5,478.75 / $5,478.75	Professional		$2,191.50	$5,478.75	$5,478.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,726.69 / $9,374.75 / $11,664.87	Facility		$6,726.69	$9,374.75	$11,664.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,696.25 / $6,696.25 / $6,696.25	Professional		$6,696.25	$6,696.25	$6,696.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $4,870.00 / $7,346.91	Professional		$2,435.00	$4,870.00	$7,346.91