Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,875.43 / $10,900.00 / $14,552.94	Facility		$2,875.43	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.35 / $5,522.86 / $5,522.86	Professional		$1,059.35	$5,522.86	$5,522.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,351.97 / $3,351.97 / $3,351.97	Professional		$3,351.97	$3,351.97	$3,351.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,213.34 / $5,522.86 / $7,897.69	Facility		$1,213.34	$5,522.86	$7,897.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,426.00 / $6,300.00 / $7,949.70	Professional		$2,426.00	$6,300.00	$7,949.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $4,350.00 / $6,462.54	Professional		$3,750.00	$4,350.00	$6,462.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,213.34 / $5,522.86 / $7,897.69	Facility		$1,213.34	$5,522.86	$7,897.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $963.59 / $4,351.50 / $6,679.06	Professional		$963.59	$4,351.50	$6,679.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,681.58 / $4,022.37 / $6,212.85	Professional		$2,681.58	$4,022.37	$6,212.85