Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,730.68 / $10,900.00 / $17,695.00	Facility		$4,730.68	$10,900.00	$17,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.85 / $8,023.41 / $8,023.41	Professional		$1,525.85	$8,023.41	$8,023.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,058.52 / $5,469.83 / $6,991.87	Professional		$4,058.52	$5,469.83	$6,991.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,549.67 / $8,023.41 / $11,232.77	Facility		$1,549.67	$8,023.41	$11,232.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,019.85 / $4,823.82 / $9,792.87	Professional		$4,019.85	$4,823.82	$9,792.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,968.75 / $8,199.24 / $9,866.00	Professional		$5,968.75	$8,199.24	$9,866.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,549.67 / $8,023.41 / $11,232.77	Facility		$1,549.67	$8,023.41	$11,232.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,449.79 / $8,093.25 / $10,518.20	Professional		$2,449.79	$8,093.25	$10,518.20
United Facility/Professional Professional Modifier Low / Median / High Price $4,214.35 / $7,499.92 / $9,626.89	Professional		$4,214.35	$7,499.92	$9,626.89