Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,060.57 / $9,577.00 / $13,413.92	Facility		$3,060.57	$9,577.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.29 / $1,190.96 / $5,163.85	Professional		$786.29	$1,190.96	$5,163.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.17 / $1,845.87 / $3,472.16	Professional		$1,513.17	$1,845.87	$3,472.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,220.17 / $5,908.24 / $7,229.40	Facility		$4,220.17	$5,908.24	$7,229.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.75 / $2,547.30 / $3,168.33	Professional		$2,122.75	$2,547.30	$3,168.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,097.03 / $3,669.75 / $4,618.50	Professional		$2,097.03	$3,669.75	$4,618.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,220.17 / $5,908.24 / $7,229.40	Facility		$4,220.17	$5,908.24	$7,229.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.17 / $3,156.25 / $5,792.48	Professional		$1,513.17	$3,156.25	$5,792.48
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $270.67 / $270.67 / $414.73	Professional	AS	$270.67	$270.67	$414.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,515.39 / $2,777.72 / $2,777.72	Professional		$1,515.39	$2,777.72	$2,777.72