Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,836.00 / $10,480.00 / $13,413.92	Facility		$8,836.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,375.43 / $4,375.43 / $4,375.43	Professional		$4,375.43	$4,375.43	$4,375.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.90 / $1,579.90 / $2,989.06	Professional		$1,579.90	$1,579.90	$2,989.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,375.43 / $6,125.60 / $6,256.86	Facility		$4,375.43	$6,125.60	$6,256.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $880.46 / $880.46 / $1,257.80	Professional		$880.46	$880.46	$1,257.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,064.80 / $3,699.00 / $3,988.95	Professional		$2,064.80	$3,699.00	$3,988.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,375.43 / $6,125.60 / $6,256.86	Facility		$4,375.43	$6,125.60	$6,256.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,579.90 / $3,425.00 / $6,326.04	Professional		$1,579.90	$3,425.00	$6,326.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.43 / $2,391.23 / $3,607.44	Professional		$1,002.43	$2,391.23	$3,607.44