Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,636.93 / $10,900.00 / $17,695.00	Facility		$3,636.93	$10,900.00	$17,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,523.00 / $6,985.48 / $7,903.43	Professional		$6,523.00	$6,985.48	$7,903.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,235.85 / $4,235.85 / $4,235.85	Professional		$4,235.85	$4,235.85	$4,235.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,529.73 / $6,985.48 / $9,989.24	Facility		$1,529.73	$6,985.48	$9,989.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,017.93 / $7,837.20 / $10,005.26	Professional		$3,017.93	$7,837.20	$10,005.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,665.00 / $5,411.40 / $7,974.48	Professional		$4,665.00	$5,411.40	$7,974.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,529.73 / $6,985.48 / $9,989.24	Facility		$1,529.73	$6,985.48	$9,989.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,189.02 / $5,458.50 / $8,221.43	Professional		$1,189.02	$5,458.50	$8,221.43
United Facility/Professional Professional Modifier Low / Median / High Price $3,363.16 / $5,083.02 / $7,735.27	Professional		$3,363.16	$5,083.02	$7,735.27