Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,159.43 / $10,850.00 / $22,888.00	Facility		$3,159.43	$10,850.00	$22,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.47 / $1,105.14 / $5,358.51	Professional		$944.47	$1,105.14	$5,358.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,696.97 / $3,604.35 / $4,742.64	Professional		$2,696.97	$3,604.35	$4,742.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,048.60 / $5,358.51 / $7,501.91	Facility		$1,048.60	$5,358.51	$7,501.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,731.65 / $3,277.98 / $6,654.66	Professional		$2,731.65	$3,277.98	$6,654.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,950.00 / $5,464.44 / $6,698.00	Professional		$3,950.00	$5,464.44	$6,698.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,048.60 / $5,358.51 / $7,501.91	Facility		$1,048.60	$5,358.51	$7,501.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,639.15 / $5,400.90 / $6,967.40	Professional		$1,639.15	$5,400.90	$6,967.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,875.14 / $5,046.09 / $6,343.66	Professional		$2,875.14	$5,046.09	$6,343.66