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 Professional Modifier Low / Median / High Price $4,228.81 / $4,228.81 / $4,605.75	Professional		$4,228.81	$4,228.81	$4,605.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.68 / $1,495.68 / $2,869.34	Professional		$1,495.68	$1,495.68	$2,869.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,228.81 / $5,920.33 / $6,047.20	Facility		$4,228.81	$5,920.33	$6,047.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,939.57 / $2,310.23 / $2,586.09	Professional		$1,939.57	$2,310.23	$2,586.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,963.20 / $3,562.65 / $3,864.25	Professional		$1,963.20	$3,562.65	$3,864.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,228.81 / $5,920.33 / $6,047.20	Facility		$4,228.81	$5,920.33	$6,047.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,185.59 / $2,661.23 / $5,717.07	Professional		$1,185.59	$2,661.23	$5,717.07
United Facility/Professional Professional Modifier Low / Median / High Price $958.73 / $2,295.48 / $3,462.97	Professional		$958.73	$2,295.48	$3,462.97