Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,901.99 / $9,577.00 / $14,552.94	Facility		$1,901.99	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,209.10 / $3,605.72 / $4,011.45	Professional		$3,209.10	$3,605.72	$4,011.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.28 / $1,622.92 / $2,810.25	Professional		$1,232.28	$1,622.92	$2,810.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,209.10 / $4,492.74 / $5,616.03	Facility		$3,209.10	$4,492.74	$5,616.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.80 / $1,948.56 / $2,471.61	Professional		$1,623.80	$1,948.56	$2,471.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,604.37 / $2,807.18 / $3,693.15	Professional		$1,604.37	$2,807.18	$3,693.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,209.10 / $4,492.74 / $5,616.03	Facility		$3,209.10	$4,492.74	$5,616.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,229.24 / $2,486.77 / $4,874.24	Professional		$1,229.24	$2,486.77	$4,874.24
United Facility/Professional Professional Modifier Low / Median / High Price $957.60 / $2,248.19 / $3,391.65	Professional		$957.60	$2,248.19	$3,391.65