Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,831.35 / $10,900.00 / $14,552.94	Facility		$2,831.35	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,614.96 / $4,614.96 / $6,226.79	Professional		$4,614.96	$4,614.96	$6,226.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,301.40 / $3,301.40 / $3,301.40	Professional		$3,301.40	$3,301.40	$3,301.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,194.71 / $4,614.96 / $6,599.39	Facility		$1,194.71	$4,614.96	$6,599.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,390.40 / $6,207.60 / $7,824.57	Professional		$2,390.40	$6,207.60	$7,824.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,695.00 / $4,286.20 / $6,307.40	Professional		$3,695.00	$4,286.20	$6,307.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,194.71 / $4,614.96 / $6,599.39	Facility		$1,194.71	$4,614.96	$6,599.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,356.60 / $4,288.50 / $6,368.88	Professional		$1,356.60	$4,288.50	$6,368.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,509.71 / $2,641.12 / $6,094.31	Professional		$2,509.71	$2,641.12	$6,094.31