Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,404.59 / $10,900.00 / $14,552.94	Facility		$2,404.59	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,297.29 / $4,618.51 / $4,618.51	Professional		$4,297.29	$4,618.51	$4,618.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,789.24 / $2,789.24 / $2,789.24	Professional		$2,789.24	$2,789.24	$2,789.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.31 / $4,618.51 / $6,604.47	Facility		$1,013.31	$4,618.51	$6,604.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,024.90 / $5,258.40 / $6,627.79	Professional		$2,024.90	$5,258.40	$6,627.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,130.00 / $3,630.80 / $5,394.37	Professional		$3,130.00	$3,630.80	$5,394.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.31 / $4,618.51 / $6,604.47	Facility		$1,013.31	$4,618.51	$6,604.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $804.32 / $3,628.50 / $5,554.84	Professional		$804.32	$3,628.50	$5,554.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,231.40 / $3,347.10 / $5,155.72	Professional		$2,231.40	$3,347.10	$5,155.72