Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,064.14 / $10,900.00 / $14,552.94	Facility		$3,064.14	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,377.25 / $5,885.31 / $5,885.31	Professional		$5,377.25	$5,885.31	$5,885.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,538.97 / $3,538.97 / $3,538.97	Professional		$3,538.97	$3,538.97	$3,538.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,289.97 / $5,885.31 / $8,415.99	Facility		$1,289.97	$5,885.31	$8,415.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,567.50 / $6,667.50 / $8,455.07	Professional		$2,567.50	$6,667.50	$8,455.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,968.75 / $4,603.75 / $6,810.42	Professional		$3,968.75	$4,603.75	$6,810.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,289.97 / $5,885.31 / $8,415.99	Facility		$1,289.97	$5,885.31	$8,415.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,015.46 / $4,567.50 / $6,982.96	Professional		$1,015.46	$4,567.50	$6,982.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,831.18 / $4,246.77 / $6,546.90	Professional		$2,831.18	$4,246.77	$6,546.90