Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,402.87 / $10,900.00 / $14,552.94	Facility		$4,402.87	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.52 / $5,884.69 / $8,456.62	Professional		$1,306.52	$5,884.69	$8,456.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,165.39 / $5,165.39 / $5,165.39	Professional		$5,165.39	$5,165.39	$5,165.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,851.23 / $8,456.62 / $12,092.98	Facility		$1,851.23	$8,456.62	$12,092.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,667.28 / $9,523.50 / $12,144.80	Professional		$3,667.28	$9,523.50	$12,144.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,668.75 / $6,575.75 / $9,925.73	Professional		$5,668.75	$6,575.75	$9,925.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,851.23 / $8,456.62 / $12,092.98	Facility		$1,851.23	$8,456.62	$12,092.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.96 / $6,658.50 / $10,170.54	Professional		$1,479.96	$6,658.50	$10,170.54
United Facility/Professional Professional Modifier Low / Median / High Price $4,132.32 / $6,198.48 / $9,534.70	Professional		$4,132.32	$6,198.48	$9,534.70