Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,409.40 / $8,303.41 / $13,413.92	Facility		$2,409.40	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,927.22 / $3,927.22 / $5,054.14	Professional		$3,927.22	$3,927.22	$5,054.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,699.07 / $2,699.07 / $2,699.07	Professional		$2,699.07	$2,699.07	$2,699.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,006.82 / $3,927.22 / $5,615.92	Facility		$1,006.82	$3,927.22	$5,615.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.55 / $5,273.10 / $6,618.11	Professional		$2,030.55	$5,273.10	$6,618.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,138.75 / $3,640.95 / $5,152.39	Professional		$3,138.75	$3,640.95	$5,152.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,006.82 / $3,927.22 / $5,615.92	Facility		$1,006.82	$3,927.22	$5,615.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,120.05 / $3,523.50 / $5,258.34	Professional		$1,120.05	$3,523.50	$5,258.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.30 / $2,159.26 / $4,946.60	Professional		$1,054.30	$2,159.26	$4,946.60