Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,028.53 / $10,900.00 / $14,552.94	Facility		$5,028.53	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,921.77 / $9,658.33 / $9,658.33	Professional		$8,921.77	$9,658.33	$9,658.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,896.15 / $5,896.15 / $5,896.15	Professional		$5,896.15	$5,896.15	$5,896.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,115.33 / $9,658.33 / $13,811.41	Facility		$2,115.33	$9,658.33	$13,811.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,171.08 / $10,831.80 / $13,850.72	Professional		$4,171.08	$10,831.80	$13,850.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,447.50 / $7,479.10 / $11,373.00	Professional		$6,447.50	$7,479.10	$11,373.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,115.33 / $9,658.33 / $13,811.41	Facility		$2,115.33	$9,658.33	$13,811.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,695.75 / $7,593.00 / $11,651.22	Professional		$1,695.75	$7,593.00	$11,651.22
United Facility/Professional Professional Modifier Low / Median / High Price $4,716.92 / $7,075.38 / $10,925.60	Professional		$4,716.92	$7,075.38	$10,925.60