Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,090.02 / $10,900.00 / $14,552.94	Facility		$4,090.02	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,666.55 / $6,666.55 / $8,907.91	Professional		$6,666.55	$6,666.55	$8,907.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,735.63 / $4,735.63 / $4,735.63	Professional		$4,735.63	$4,735.63	$4,735.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,762.03 / $6,666.55 / $9,533.17	Facility		$1,762.03	$6,666.55	$9,533.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,530.63 / $9,119.71 / $10,777.85	Professional		$3,530.63	$9,119.71	$10,777.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,437.80 / $6,330.70 / $9,009.00	Professional		$5,437.80	$6,330.70	$9,009.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,762.03 / $6,666.55 / $9,533.17	Facility		$1,762.03	$6,666.55	$9,533.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,941.80 / $6,156.00 / $9,116.24	Professional		$1,941.80	$6,156.00	$9,116.24
United Facility/Professional Professional Modifier Low / Median / High Price $3,788.50 / $5,682.75 / $9,471.25	Professional		$3,788.50	$5,682.75	$9,471.25