Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,372.47 / $9,774.00 / $14,552.94	Facility		$3,372.47	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.61 / $5,719.84 / $5,719.84	Professional		$1,084.61	$5,719.84	$5,719.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,889.54 / $3,889.61 / $5,000.68	Professional		$2,889.54	$3,889.61	$5,000.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,107.32 / $5,719.84 / $8,007.78	Facility		$1,107.32	$5,719.84	$8,007.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,874.80 / $3,449.76 / $7,003.35	Professional		$2,874.80	$3,449.76	$7,003.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,227.50 / $5,842.84 / $7,046.00	Professional		$4,227.50	$5,842.84	$7,046.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,107.32 / $5,719.84 / $8,007.78	Facility		$1,107.32	$5,719.84	$8,007.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,744.50 / $5,774.90 / $7,462.40	Professional		$1,744.50	$5,774.90	$7,462.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,013.18 / $5,333.20 / $6,845.70	Professional		$3,013.18	$5,333.20	$6,845.70