Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,591.09 / $9,813.00 / $14,552.94	Facility		$3,591.09	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,853.34 / $5,853.34 / $7,819.48	Professional		$5,853.34	$5,853.34	$7,819.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,103.32 / $4,103.32 / $4,103.32	Professional		$4,103.32	$4,103.32	$4,103.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.79 / $5,853.34 / $8,370.28	Facility		$1,492.79	$5,853.34	$8,370.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,038.15 / $7,889.70 / $9,833.92	Professional		$3,038.15	$7,889.70	$9,833.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,696.25 / $5,447.65 / $8,085.00	Professional		$4,696.25	$5,447.65	$8,085.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,492.79 / $5,853.34 / $8,370.28	Facility		$1,492.79	$5,853.34	$8,370.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,739.45 / $5,419.50 / $8,166.26	Professional		$1,739.45	$5,419.50	$8,166.26
United Facility/Professional Professional Modifier Low / Median / High Price $3,196.83 / $3,327.44 / $7,653.11	Professional		$3,196.83	$3,327.44	$7,653.11