Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,243.00 / $9,813.00 / $14,552.94	Facility		$7,243.00	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,789.25 / $12,789.25 / $12,789.25	Professional		$12,789.25	$12,789.25	$12,789.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,618.99 / $4,618.99 / $8,736.20	Professional		$4,618.99	$4,618.99	$8,736.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12,789.25 / $17,904.95 / $18,288.63	Facility		$12,789.25	$17,904.95	$18,288.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,573.88 / $2,573.88 / $3,676.98	Professional		$2,573.88	$2,573.88	$3,676.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,036.00 / $10,813.50 / $11,653.65	Professional		$6,036.00	$10,813.50	$11,653.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $12,789.25 / $17,904.95 / $18,288.63	Facility		$12,789.25	$17,904.95	$18,288.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,618.99 / $10,012.50 / $18,494.98	Professional		$4,618.99	$10,012.50	$18,494.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,929.79 / $6,988.98 / $10,543.61	Professional		$2,929.79	$6,988.98	$10,543.61