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 $4,495.26 / $4,495.26 / $4,804.60	Professional		$4,495.26	$4,495.26	$4,804.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.56 / $1,541.56 / $2,994.35	Professional		$1,541.56	$1,541.56	$2,994.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,495.26 / $6,293.36 / $6,428.22	Facility		$4,495.26	$6,293.36	$6,428.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.15 / $2,493.17 / $2,790.87	Professional		$2,093.15	$2,493.17	$2,790.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,061.60 / $3,771.90 / $4,170.20	Professional		$2,061.60	$3,771.90	$4,170.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,495.26 / $6,293.36 / $6,428.22	Facility		$4,495.26	$6,293.36	$6,428.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,239.28 / $2,843.09 / $5,909.01	Professional		$1,239.28	$2,843.09	$5,909.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.34 / $2,395.48 / $3,613.83	Professional		$1,004.34	$2,395.48	$3,613.83