Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.88 / $6,217.75 / $7,150.41	Professional		$1,187.88	$6,217.75	$7,150.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,137.83 / $4,207.87 / $5,469.12	Professional		$3,137.83	$4,207.87	$5,469.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.09 / $6,217.75 / $8,704.85	Facility		$1,211.09	$6,217.75	$8,704.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,149.75 / $3,779.70 / $7,673.15	Professional		$3,149.75	$3,779.70	$7,673.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,592.50 / $6,350.24 / $7,724.00	Professional		$4,592.50	$6,350.24	$7,724.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,211.09 / $6,217.75 / $8,704.85	Facility		$1,211.09	$6,217.75	$8,704.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,901.40 / $6,276.40 / $8,133.40	Professional		$1,901.40	$6,276.40	$8,133.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,291.57 / $5,769.60 / $7,405.86	Professional		$3,291.57	$5,769.60	$7,405.86