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 $4,306.70 / $4,306.70 / $4,694.20	Professional		$4,306.70	$4,306.70	$4,694.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,523.78 / $1,523.78 / $2,926.19	Professional		$1,523.78	$1,523.78	$2,926.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,306.70 / $6,029.38 / $6,158.58	Facility		$4,306.70	$6,029.38	$6,158.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.97 / $2,353.60 / $2,634.63	Professional		$1,975.97	$2,353.60	$2,634.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,039.20 / $3,626.10 / $3,936.75	Professional		$2,039.20	$3,626.10	$3,936.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,306.70 / $6,029.38 / $6,158.58	Facility		$4,306.70	$6,029.38	$6,158.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,212.20 / $2,710.55 / $5,824.47	Professional		$1,212.20	$2,710.55	$5,824.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.45 / $2,340.96 / $2,340.96	Professional		$1,065.45	$2,340.96	$2,340.96