Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,161.61 / $9,813.00 / $14,552.94	Facility		$3,161.61	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.58 / $5,362.21 / $5,362.21	Professional		$1,024.58	$5,362.21	$5,362.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,705.22 / $3,629.03 / $4,715.66	Professional		$2,705.22	$3,629.03	$4,715.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.47 / $5,362.21 / $7,507.09	Facility		$1,044.47	$5,362.21	$7,507.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,716.30 / $3,259.56 / $6,617.23	Professional		$2,716.30	$3,259.56	$6,617.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,953.75 / $5,474.76 / $6,664.00	Professional		$3,953.75	$5,474.76	$6,664.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.47 / $5,362.21 / $7,507.09	Facility		$1,044.47	$5,362.21	$7,507.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,640.33 / $5,411.10 / $7,022.40	Professional		$1,640.33	$5,411.10	$7,022.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,903.22 / $5,080.64 / $6,387.08	Professional		$2,903.22	$5,080.64	$6,387.08