Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,714.03 / $10,900.00 / $14,552.94	Facility		$2,714.03	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,749.67 / $5,212.85 / $5,212.85	Professional		$4,749.67	$5,212.85	$5,212.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,189.39 / $3,189.39 / $3,189.39	Professional		$3,189.39	$3,189.39	$3,189.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.38 / $5,212.85 / $7,454.39	Facility		$1,143.38	$5,212.85	$7,454.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,243.23 / $5,825.40 / $7,499.77	Professional		$2,243.23	$5,825.40	$7,499.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.50 / $4,022.30 / $5,791.31	Professional		$3,467.50	$4,022.30	$5,791.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,143.38 / $5,212.85 / $7,454.39	Facility		$1,143.38	$5,212.85	$7,454.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $863.50 / $4,087.50 / $6,475.98	Professional		$863.50	$4,087.50	$6,475.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,551.52 / $3,827.28 / $5,891.96	Professional		$2,551.52	$3,827.28	$5,891.96