Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,876.79 / $8,303.41 / $13,413.92	Facility		$2,876.79	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,689.06 / $4,689.06 / $5,912.36	Professional		$4,689.06	$4,689.06	$5,912.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,160.63 / $3,160.63 / $3,160.63	Professional		$3,160.63	$3,160.63	$3,160.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.32 / $4,689.06 / $6,705.36	Facility		$1,201.32	$4,689.06	$6,705.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,476.13 / $6,430.20 / $7,873.65	Professional		$2,476.13	$6,430.20	$7,873.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,827.50 / $4,439.89 / $6,140.20	Professional		$3,827.50	$4,439.89	$6,140.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,201.32 / $4,689.06 / $6,705.36	Facility		$1,201.32	$4,689.06	$6,705.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,335.70 / $4,203.00 / $6,270.76	Professional		$1,335.70	$4,203.00	$6,270.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,462.39 / $2,528.50 / $6,321.25	Professional		$2,462.39	$2,528.50	$6,321.25