Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,709.59 / $10,900.00 / $14,552.94	Facility		$2,709.59	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,416.50 / $4,416.50 / $5,912.08	Professional		$4,416.50	$4,416.50	$5,912.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,147.65 / $3,147.65 / $3,147.65	Professional		$3,147.65	$3,147.65	$3,147.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.33 / $4,416.50 / $6,315.60	Facility		$1,144.33	$4,416.50	$6,315.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.13 / $5,947.20 / $7,432.43	Professional		$2,290.13	$5,947.20	$7,432.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,540.00 / $4,106.39 / $5,995.00	Professional		$3,540.00	$4,106.39	$5,995.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,144.33 / $4,416.50 / $6,315.60	Facility		$1,144.33	$4,416.50	$6,315.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,284.88 / $4,092.00 / $6,032.15	Professional		$1,284.88	$4,092.00	$6,032.15
United Facility/Professional Professional Modifier Low / Median / High Price $2,404.87 / $2,518.12 / $5,786.29	Professional		$2,404.87	$2,518.12	$5,786.29