Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,948.80 / $9,774.00 / $14,552.94	Facility		$2,948.80	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.86 / $5,001.26 / $5,001.26	Professional		$955.86	$5,001.26	$5,001.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,521.31 / $3,378.68 / $4,401.82	Professional		$2,521.31	$3,378.68	$4,401.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $973.12 / $5,001.26 / $7,001.76	Facility		$973.12	$5,001.26	$7,001.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,531.13 / $3,037.35 / $6,166.10	Professional		$2,531.13	$3,037.35	$6,166.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,687.50 / $5,101.52 / $6,214.00	Professional		$3,687.50	$5,101.52	$6,214.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $973.12 / $5,001.26 / $7,001.76	Facility		$973.12	$5,001.26	$7,001.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,528.78 / $5,042.20 / $6,507.60	Professional		$1,528.78	$5,042.20	$6,507.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,648.89 / $4,632.64 / $5,946.47	Professional		$2,648.89	$4,632.64	$5,946.47