Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,930.43 / $10,900.00 / $14,552.94	Facility		$4,930.43	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,766.39 / $9,469.90 / $9,469.90	Professional		$8,766.39	$9,469.90	$9,469.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,773.41 / $5,773.41 / $5,773.41	Professional		$5,773.41	$5,773.41	$5,773.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,075.80 / $9,469.90 / $13,541.96	Facility		$2,075.80	$9,469.90	$13,541.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,120.95 / $10,701.60 / $13,613.93	Professional		$4,120.95	$10,701.60	$13,613.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,370.00 / $7,389.20 / $11,000.59	Professional		$6,370.00	$7,389.20	$11,000.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,075.80 / $9,469.90 / $13,541.96	Facility		$2,075.80	$9,469.90	$13,541.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,640.22 / $7,455.00 / $11,397.58	Professional		$1,640.22	$7,455.00	$11,397.58
United Facility/Professional Professional Modifier Low / Median / High Price $4,618.72 / $6,928.08 / $10,665.93	Professional		$4,618.72	$6,928.08	$10,665.93