Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.43 / $10,900.00 / $14,552.94	Facility		$4,500.43	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,978.06 / $8,644.02 / $8,644.02	Professional		$7,978.06	$8,644.02	$8,644.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,279.56 / $5,279.56 / $5,279.56	Professional		$5,279.56	$5,279.56	$5,279.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,892.38 / $8,644.02 / $12,360.95	Facility		$1,892.38	$8,644.02	$12,360.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,727.93 / $9,681.00 / $12,391.54	Professional		$3,727.93	$9,681.00	$12,391.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,762.50 / $6,684.50 / $10,092.98	Professional		$5,762.50	$6,684.50	$10,092.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,892.38 / $8,644.02 / $12,360.95	Facility		$1,892.38	$8,644.02	$12,360.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,504.90 / $6,793.50 / $10,417.32	Professional		$1,504.90	$6,793.50	$10,417.32
United Facility/Professional Professional Modifier Low / Median / High Price $4,223.64 / $6,335.46 / $9,777.70	Professional		$4,223.64	$6,335.46	$9,777.70