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 $4,822.91 / $4,822.91 / $5,564.50	Professional		$4,822.91	$4,822.91	$5,564.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,223.50 / $3,223.50 / $3,223.50	Professional		$3,223.50	$3,223.50	$3,223.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.97 / $4,822.91 / $6,896.76	Facility		$1,211.97	$4,822.91	$6,896.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,599.85 / $6,751.50 / $8,031.14	Professional		$2,599.85	$6,751.50	$8,031.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,018.75 / $4,661.75 / $5,883.45	Professional		$4,018.75	$4,661.75	$5,883.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,211.97 / $4,822.91 / $6,896.76	Facility		$1,211.97	$4,822.91	$6,896.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,293.90 / $4,459.50 / $6,074.52	Professional		$1,293.90	$4,459.50	$6,074.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,297.12 / $2,578.80 / $5,283.38	Professional		$2,297.12	$2,578.80	$5,283.38