Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,873.66 / $10,900.00 / $14,552.94	Facility		$2,873.66	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,683.95 / $4,683.95 / $6,320.18	Professional		$4,683.95	$4,683.95	$6,320.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,350.94 / $3,350.94 / $3,350.94	Professional		$3,350.94	$3,350.94	$3,350.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.05 / $4,683.95 / $6,698.05	Facility		$1,212.05	$4,683.95	$6,698.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,423.55 / $6,293.70 / $7,941.18	Professional		$2,423.55	$6,293.70	$7,941.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,746.25 / $4,345.64 / $6,399.80	Professional		$3,746.25	$4,345.64	$6,399.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,212.05 / $4,683.95 / $6,698.05	Facility		$1,212.05	$4,683.95	$6,698.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,369.90 / $4,351.50 / $6,431.32	Professional		$1,369.90	$4,351.50	$6,431.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,546.66 / $2,680.76 / $6,701.90	Professional		$2,546.66	$2,680.76	$6,701.90