Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,086.29 / $7,340.00 / $13,413.92	Facility		$2,086.29	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,520.05 / $3,815.57 / $3,860.40	Professional		$3,520.05	$3,815.57	$3,860.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.08 / $1,370.49 / $2,601.33	Professional		$1,262.08	$1,370.49	$2,601.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,520.05 / $4,928.07 / $5,341.80	Facility		$3,520.05	$4,928.07	$5,341.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.90 / $2,038.07 / $2,331.87	Professional		$1,748.90	$2,038.07	$2,331.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,654.80 / $2,971.80 / $3,426.00	Professional		$1,654.80	$2,971.80	$3,426.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,520.05 / $4,928.07 / $5,341.80	Facility		$3,520.05	$4,928.07	$5,341.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,164.09 / $2,411.69 / $4,825.92	Professional		$1,164.09	$2,411.69	$4,825.92
United Facility/Professional Professional Modifier Low / Median / High Price $876.28 / $2,081.06 / $3,139.50	Professional		$876.28	$2,081.06	$3,139.50