Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,788.40 / $10,900.00 / $14,552.94	Facility		$2,788.40	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,867.05 / $5,355.68 / $5,355.68	Professional		$4,867.05	$5,355.68	$5,355.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,286.05 / $3,286.05 / $3,286.05	Professional		$3,286.05	$3,286.05	$3,286.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.19 / $5,355.68 / $7,658.62	Facility		$1,174.19	$5,355.68	$7,658.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,294.98 / $5,959.80 / $7,703.48	Professional		$2,294.98	$5,959.80	$7,703.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,547.50 / $4,115.10 / $6,190.48	Professional		$3,547.50	$4,115.10	$6,190.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.19 / $5,355.68 / $7,658.62	Facility		$1,174.19	$5,355.68	$7,658.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $923.02 / $4,198.50 / $6,659.24	Professional		$923.02	$4,198.50	$6,659.24
United Facility/Professional Professional Modifier Low / Median / High Price $2,628.84 / $3,943.26 / $6,075.91	Professional		$2,628.84	$3,943.26	$6,075.91