Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,826.71 / $1,826.71 / $1,826.71	Facility	52	$1,826.71	$1,826.71	$1,826.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.39 / $1,211.20 / $6,164.12	Professional		$1,062.39	$1,211.20	$6,164.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,267.88 / $2,267.88 / $4,286.67	Professional		$2,267.88	$2,267.88	$4,286.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,164.12 / $8,629.77 / $8,814.69	Facility		$6,164.12	$8,629.77	$8,814.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,774.36 / $3,304.57 / $3,699.15	Professional		$2,774.36	$3,304.57	$3,699.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,830.40 / $4,950.39 / $5,647.50	Professional		$2,830.40	$4,950.39	$5,647.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,164.12 / $8,629.77 / $8,814.69	Facility		$6,164.12	$8,629.77	$8,814.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,788.38 / $3,759.58 / $8,701.28	Professional		$1,788.38	$3,759.58	$8,701.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,867.71 / $3,429.34 / $3,486.26	Professional		$1,867.71	$3,429.34	$3,486.26