Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,653.27 / $10,653.27 / $10,653.27	Professional		$10,653.27	$10,653.27	$10,653.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,096.13 / $6,096.13 / $6,096.13	Professional		$6,096.13	$6,096.13	$6,096.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,104.96 / $10,653.27 / $15,234.18	Facility		$2,104.96	$10,653.27	$15,234.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,764.25 / $1,764.25 / $2,520.35	Professional		$1,764.25	$1,764.25	$2,520.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,773.75 / $9,017.54 / $11,832.38	Professional		$7,773.75	$9,017.54	$11,832.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,104.96 / $10,653.27 / $15,234.18	Facility		$2,104.96	$10,653.27	$15,234.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,764.25 / $8,070.00 / $12,124.21	Professional		$1,764.25	$8,070.00	$12,124.21
United Facility/Professional Professional Modifier Low / Median / High Price $4,051.72 / $6,092.76 / $9,318.95	Professional		$4,051.72	$6,092.76	$9,318.95