Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,859.59 / $10,480.00 / $13,413.92	Facility		$3,859.59	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.63 / $6,545.99 / $6,545.99	Professional		$1,247.63	$6,545.99	$6,545.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,310.38 / $4,451.56 / $5,728.90	Professional		$3,310.38	$4,451.56	$5,728.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.63 / $6,545.99 / $9,164.39	Facility		$1,247.63	$6,545.99	$9,164.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,298.53 / $3,958.23 / $8,035.63	Professional		$3,298.53	$3,958.23	$8,035.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,793.75 / $6,672.75 / $8,092.00	Professional		$4,793.75	$6,672.75	$8,092.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,247.63 / $6,545.99 / $9,164.39	Facility		$1,247.63	$6,545.99	$9,164.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,000.99 / $6,616.40 / $8,593.20	Professional		$2,000.99	$6,616.40	$8,593.20
United Facility/Professional Professional Modifier Low / Median / High Price $3,561.26 / $6,232.21 / $7,834.77	Professional		$3,561.26	$6,232.21	$7,834.77