Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,677.35	Facility		$3,715.35	$3,715.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $4,168.69	Professional		$1,202.26	$1,698.24	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $6,606.93	Professional		$3,090.30	$4,365.16	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $8,511.38	Facility		$1,348.96	$2,884.03	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $7,943.28	Professional		$2,630.27	$4,786.30	$7,943.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,309.57 / $9,332.54	Professional		$3,981.07	$6,309.57	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $8,317.64	Facility		$1,288.25	$2,511.89	$8,317.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,344.23 / $4,365.16	Professional		$60.26	$2,344.23	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $6,456.54 / $8,709.64	Professional		$1,862.09	$6,456.54	$8,709.64