Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,085.04 / $10,900.00 / $14,552.94	Facility		$2,085.04	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,398.51 / $3,398.51 / $4,511.43	Professional		$3,398.51	$3,398.51	$4,511.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.02 / $2,401.02 / $2,401.02	Professional		$2,401.02	$2,401.02	$2,401.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $879.16 / $3,398.51 / $4,859.87	Facility		$879.16	$3,398.51	$4,859.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,780.68 / $4,624.20 / $5,760.76	Professional		$1,780.68	$4,624.20	$5,760.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,752.50 / $3,192.90 / $4,613.39	Professional		$2,752.50	$3,192.90	$4,613.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $879.16 / $3,398.51 / $4,859.87	Facility		$879.16	$3,398.51	$4,859.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.48 / $3,150.00 / $4,640.63	Professional		$988.48	$3,150.00	$4,640.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,869.62 / $1,920.82 / $4,415.45	Professional		$1,869.62	$1,920.82	$4,415.45