Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,645.94 / $9,813.00 / $14,552.94	Facility		$3,645.94	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.22 / $3,645.94 / $6,183.64	Professional		$1,099.22	$3,645.94	$6,183.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.99 / $4,222.80 / $5,413.46	Professional		$3,148.99	$4,222.80	$5,413.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,209.95 / $6,183.64 / $8,657.10	Facility		$1,209.95	$6,183.64	$8,657.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,143.28 / $3,771.93 / $7,657.39	Professional		$3,143.28	$3,771.93	$7,657.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,605.00 / $6,353.68 / $7,710.00	Professional		$4,605.00	$6,353.68	$7,710.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,209.95 / $6,183.64 / $8,657.10	Facility		$1,209.95	$6,183.64	$8,657.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.10 / $6,265.05 / $8,137.80	Professional		$1,905.10	$6,265.05	$8,137.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,378.24 / $5,911.92 / $7,432.13	Professional		$3,378.24	$5,911.92	$7,432.13