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 $3,051.62 / $3,051.62 / $3,195.67	Professional		$3,051.62	$3,051.62	$3,195.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.47 / $1,014.47 / $1,983.40	Professional		$1,014.47	$1,014.47	$1,983.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,051.62 / $4,272.27 / $4,363.82	Facility		$3,051.62	$4,272.27	$4,363.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.74 / $1,678.34 / $1,879.65	Professional		$1,409.74	$1,678.34	$1,879.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,390.25 / $2,593.35 / $2,808.65	Professional		$1,390.25	$2,593.35	$2,808.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,051.62 / $4,272.27 / $4,363.82	Facility		$3,051.62	$4,272.27	$4,363.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $822.70 / $1,937.87 / $3,895.93	Professional		$822.70	$1,937.87	$3,895.93
United Facility/Professional Professional Modifier Low / Median / High Price $712.07 / $1,586.72 / $2,393.73	Professional		$712.07	$1,586.72	$2,393.73