Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,440.57 / $10,900.00 / $14,552.94	Facility		$4,440.57	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,897.68 / $8,529.01 / $8,529.01	Professional		$7,897.68	$8,529.01	$8,529.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,199.45 / $5,199.45 / $5,199.45	Professional		$5,199.45	$5,199.45	$5,199.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,870.16 / $8,529.01 / $12,196.48	Facility		$1,870.16	$8,529.01	$12,196.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.00 / $9,647.40 / $12,258.87	Professional		$3,715.00	$9,647.40	$12,258.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,742.50 / $6,661.30 / $9,961.41	Professional		$5,742.50	$6,661.30	$9,961.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,870.16 / $8,529.01 / $12,196.48	Facility		$1,870.16	$8,529.01	$12,196.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,485.28 / $6,715.50 / $10,264.21	Professional		$1,485.28	$6,715.50	$10,264.21
United Facility/Professional Professional Modifier Low / Median / High Price $4,159.56 / $4,159.56 / $9,395.84	Professional		$4,159.56	$4,159.56	$9,395.84