Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,562.51 / $9,813.00 / $14,552.94	Facility		$2,562.51	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,176.80 / $4,176.80 / $5,122.01	Professional		$4,176.80	$4,176.80	$5,122.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,743.15 / $2,743.15 / $2,743.15	Professional		$2,743.15	$2,743.15	$2,743.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,068.32 / $4,176.80 / $5,972.82	Facility		$1,068.32	$4,176.80	$5,972.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,266.67 / $5,886.30 / $7,000.76	Professional		$2,266.67	$5,886.30	$7,000.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,503.75 / $4,064.35 / $5,460.40	Professional		$3,503.75	$4,064.35	$5,460.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,068.32 / $4,176.80 / $5,972.82	Facility		$1,068.32	$4,176.80	$5,972.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,190.83 / $3,742.50 / $5,590.61	Professional		$1,190.83	$3,742.50	$5,590.61
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.14 / $2,194.52 / $5,013.03	Professional		$2,137.14	$2,194.52	$5,013.03