Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,414.20 / $10,900.00 / $14,552.94	Facility		$4,414.20	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.10 / $5,889.68 / $8,478.37	Professional		$1,395.10	$5,889.68	$8,478.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,184.88 / $5,184.88 / $5,184.88	Professional		$5,184.88	$5,184.88	$5,184.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,857.48 / $8,478.37 / $12,124.07	Facility		$1,857.48	$8,478.37	$12,124.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,677.00 / $9,548.70 / $12,180.03	Professional		$3,677.00	$9,548.70	$12,180.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,683.75 / $6,593.15 / $9,858.83	Professional		$5,683.75	$6,593.15	$9,858.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,857.48 / $8,478.37 / $12,124.07	Facility		$1,857.48	$8,478.37	$12,124.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,469.98 / $6,681.00 / $10,218.52	Professional		$1,469.98	$6,681.00	$10,218.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,050.23 / $6,221.85 / $9,584.15	Professional		$2,050.23	$6,221.85	$9,584.15