Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,393.46 / $10,900.00 / $14,552.94	Facility		$2,393.46	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,210.93 / $4,597.14 / $4,597.14	Professional		$4,210.93	$4,597.14	$4,597.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,830.55 / $2,830.55 / $2,830.55	Professional		$2,830.55	$2,830.55	$2,830.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.56 / $4,597.14 / $6,573.92	Facility		$1,003.56	$4,597.14	$6,573.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.93 / $5,071.50 / $6,582.03	Professional		$1,952.93	$5,071.50	$6,582.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,018.75 / $3,501.75 / $5,409.98	Professional		$3,018.75	$3,501.75	$5,409.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,003.56 / $4,597.14 / $6,573.92	Facility		$1,003.56	$4,597.14	$6,573.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $806.65 / $3,610.50 / $5,771.50	Professional		$806.65	$3,610.50	$5,771.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.50 / $3,396.66 / $5,246.39	Professional		$1,378.50	$3,396.66	$5,246.39