Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,552.21 / $13,413.92 / $20,143.00	Facility		$4,552.21	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.43 / $7,720.73 / $7,720.73	Professional		$1,488.43	$7,720.73	$7,720.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,946.51 / $5,292.82 / $6,874.35	Professional		$3,946.51	$5,292.82	$6,874.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.40 / $7,720.73 / $10,809.02	Facility		$1,495.40	$7,720.73	$10,809.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,901.80 / $4,682.16 / $9,505.25	Professional		$3,901.80	$4,682.16	$9,505.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,856.25 / $7,971.30 / $9,586.00	Professional		$5,856.25	$7,971.30	$9,586.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,495.40 / $7,720.73 / $10,809.02	Facility		$1,495.40	$7,720.73	$10,809.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,341.32 / $7,892.50 / $10,454.40	Professional		$2,341.32	$7,892.50	$10,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,120.68 / $7,257.23 / $9,315.37	Professional		$4,120.68	$7,257.23	$9,315.37