Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.19 / $10,900.00 / $14,552.94	Facility		$2,626.19	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,280.55 / $4,280.55 / $5,729.72	Professional		$4,280.55	$4,280.55	$5,729.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,041.31 / $3,041.31 / $3,041.31	Professional		$3,041.31	$3,041.31	$3,041.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,107.07 / $4,280.55 / $6,121.19	Facility		$1,107.07	$4,280.55	$6,121.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,218.15 / $5,760.30 / $7,249.06	Professional		$2,218.15	$5,760.30	$7,249.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,428.75 / $3,977.35 / $5,792.60	Professional		$3,428.75	$3,977.35	$5,792.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,107.07 / $4,280.55 / $6,121.19	Facility		$1,107.07	$4,280.55	$6,121.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,250.68 / $3,951.00 / $5,871.59	Professional		$1,250.68	$3,951.00	$5,871.59
United Facility/Professional Professional Modifier Low / Median / High Price $2,330.13 / $2,433.04 / $5,607.81	Professional		$2,330.13	$2,433.04	$5,607.81