Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,573.88 / $10,900.00 / $14,552.94	Facility		$2,573.88	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,512.38 / $4,943.68 / $4,943.68	Professional		$4,512.38	$4,943.68	$4,943.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,022.68 / $3,022.68 / $3,022.68	Professional		$3,022.68	$3,022.68	$3,022.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,086.90 / $4,943.68 / $7,069.48	Facility		$1,086.90	$4,943.68	$7,069.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.30 / $5,550.30 / $7,124.52	Professional		$2,137.30	$5,550.30	$7,124.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,303.75 / $3,832.35 / $5,697.65	Professional		$3,303.75	$3,832.35	$5,697.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,086.90 / $4,943.68 / $7,069.48	Facility		$1,086.90	$4,943.68	$7,069.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $849.54 / $3,879.00 / $5,953.50	Professional		$849.54	$3,879.00	$5,953.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,418.14 / $3,627.21 / $5,595.53	Professional		$2,418.14	$3,627.21	$5,595.53