Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,587.33 / $9,774.00 / $14,552.94	Facility		$3,587.33	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,847.18 / $5,847.18 / $7,806.61	Professional		$5,847.18	$5,847.18	$7,806.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,944.36 / $3,944.36 / $3,944.36	Professional		$3,944.36	$3,944.36	$3,944.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,482.38 / $5,847.18 / $8,361.46	Facility		$1,482.38	$5,847.18	$8,361.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,020.35 / $7,843.50 / $9,804.79	Professional		$3,020.35	$7,843.50	$9,804.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,668.75 / $5,415.75 / $8,186.10	Professional		$4,668.75	$5,415.75	$8,186.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,482.38 / $5,847.18 / $8,361.46	Facility		$1,482.38	$5,847.18	$8,361.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,620.70 / $5,194.50 / $8,396.00	Professional		$1,620.70	$5,194.50	$8,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,072.98 / $3,240.89 / $7,640.51	Professional		$3,072.98	$3,240.89	$7,640.51