Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,573.54 / $10,900.00 / $14,552.94	Facility		$2,573.54	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,194.77 / $4,194.77 / $5,647.33	Professional		$4,194.77	$4,194.77	$5,647.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,995.27 / $2,995.27 / $2,995.27	Professional		$2,995.27	$2,995.27	$2,995.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.83 / $4,194.77 / $5,998.52	Facility		$1,085.83	$4,194.77	$5,998.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,176.10 / $5,651.10 / $7,114.19	Professional		$2,176.10	$5,651.10	$7,114.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,363.75 / $3,901.95 / $5,728.80	Professional		$3,363.75	$3,901.95	$5,728.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.83 / $4,194.77 / $5,998.52	Facility		$1,085.83	$4,194.77	$5,998.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.73 / $3,897.00 / $5,777.93	Professional		$1,230.73	$3,897.00	$5,777.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,285.44 / $2,396.21 / $5,990.55	Professional		$2,285.44	$2,396.21	$5,990.55