Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,406.29 / $10,900.00 / $14,552.94	Facility		$2,406.29	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,221.14 / $4,621.77 / $4,621.77	Professional		$4,221.14	$4,621.77	$4,621.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,826.34 / $2,826.34 / $2,826.34	Professional		$2,826.34	$2,826.34	$2,826.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,015.81 / $4,621.77 / $6,609.13	Facility		$1,015.81	$4,621.77	$6,609.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,997.40 / $5,187.00 / $6,660.36	Professional		$1,997.40	$5,187.00	$6,660.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,087.50 / $3,581.50 / $5,262.80	Professional		$3,087.50	$3,581.50	$5,262.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.81 / $4,621.77 / $6,609.13	Facility		$1,015.81	$4,621.77	$6,609.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.70 / $3,628.50 / $5,562.00	Professional		$784.70	$3,628.50	$5,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,261.08 / $3,391.62 / $5,229.00	Professional		$2,261.08	$3,391.62	$5,229.00