Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,329.25 / $9,813.00 / $14,552.94	Facility		$4,329.25	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.81 / $7,342.57 / $7,342.57	Professional		$1,397.81	$7,342.57	$7,342.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,713.22 / $5,000.16 / $6,412.96	Professional		$3,713.22	$5,000.16	$6,412.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.81 / $7,342.57 / $10,279.60	Facility		$1,397.81	$7,342.57	$10,279.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,689.93 / $4,427.91 / $8,989.11	Professional		$3,689.93	$4,427.91	$8,989.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,455.00 / $7,507.50 / $9,050.00	Professional		$5,455.00	$7,507.50	$9,050.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,397.81 / $7,342.57 / $10,279.60	Facility		$1,397.81	$7,342.57	$10,279.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,242.80 / $7,420.05 / $9,640.40	Professional		$2,242.80	$7,420.05	$9,640.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,000.12 / $7,000.21 / $8,800.26	Professional		$4,000.12	$7,000.21	$8,800.26