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 $4,501.01 / $4,501.01 / $4,778.71	Professional		$4,501.01	$4,501.01	$4,778.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.19 / $1,517.19 / $2,981.72	Professional		$1,517.19	$1,517.19	$2,981.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,501.01 / $6,301.41 / $6,436.44	Facility		$4,501.01	$6,301.41	$6,436.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,064.76 / $2,459.36 / $2,753.01	Professional		$2,064.76	$2,459.36	$2,753.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,042.40 / $3,796.20 / $4,113.64	Professional		$2,042.40	$3,796.20	$4,113.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,501.01 / $6,301.41 / $6,436.44	Facility		$4,501.01	$6,301.41	$6,436.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,226.93 / $2,842.07 / $5,819.90	Professional		$1,226.93	$2,842.07	$5,819.90
United Facility/Professional Professional Modifier Low / Median / High Price $998.25 / $2,385.38 / $3,598.60	Professional		$998.25	$2,385.38	$3,598.60