Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,978.29 / $10,900.00 / $14,552.94	Facility		$3,978.29	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,049.19 / $7,641.13 / $7,641.13	Professional		$7,049.19	$7,641.13	$7,641.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,650.34 / $4,650.34 / $4,650.34	Professional		$4,650.34	$4,650.34	$4,650.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,668.48 / $7,641.13 / $10,926.82	Facility		$1,668.48	$7,641.13	$10,926.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,302.58 / $8,576.40 / $10,985.39	Professional		$3,302.58	$8,576.40	$10,985.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,105.00 / $5,921.80 / $8,924.45	Professional		$5,105.00	$5,921.80	$8,924.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,668.48 / $7,641.13 / $10,926.82	Facility		$1,668.48	$7,641.13	$10,926.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,330.67 / $5,994.00 / $9,158.28	Professional		$1,330.67	$5,994.00	$9,158.28
United Facility/Professional Professional Modifier Low / Median / High Price $3,720.28 / $5,580.42 / $8,584.61	Professional		$3,720.28	$5,580.42	$8,584.61