Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.47 / $1,040.99 / $4,819.84	Professional		$751.47	$1,040.99	$4,819.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.76 / $1,744.00 / $3,225.98	Professional		$1,461.76	$1,744.00	$3,225.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,078.88 / $5,710.43 / $6,747.78	Facility		$4,078.88	$5,710.43	$6,747.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,063.69 / $2,476.44 / $2,981.04	Professional		$2,063.69	$2,476.44	$2,981.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,036.65 / $3,567.70 / $4,324.50	Professional		$2,036.65	$3,567.70	$4,324.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,078.88 / $5,710.43 / $6,747.78	Facility		$4,078.88	$5,710.43	$6,747.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,461.76 / $2,967.56 / $5,579.97	Professional		$1,461.76	$2,967.56	$5,579.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.55 / $2,580.78 / $3,893.38	Professional		$1,087.55	$2,580.78	$3,893.38