Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,897.05 / $3,897.05 / $4,637.45	Facility		$3,897.05	$3,897.05	$4,637.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.83 / $6,609.53 / $7,865.26	Professional		$1,194.83	$6,609.53	$7,865.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,375.15 / $4,745.99 / $6,750.46	Professional		$3,375.15	$4,745.99	$6,750.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,456.92 / $6,609.53 / $11,011.36	Facility		$1,456.92	$6,609.53	$11,011.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,153.78 / $4,665.66 / $9,375.60	Professional		$3,153.78	$4,665.66	$9,375.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,875.00 / $6,971.60 / $10,305.75	Professional		$4,875.00	$6,971.60	$10,305.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,456.92 / $6,685.47 / $11,011.36	Facility		$1,456.92	$6,685.47	$11,011.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,992.00 / $7,147.50 / $10,854.00	Professional		$2,992.00	$7,147.50	$10,854.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,460.92 / $8,921.84 / $9,814.02	Professional		$4,460.92	$8,921.84	$9,814.02