Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,587.03 / $9,774.00 / $14,552.94	Facility		$3,587.03	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,249.45 / $6,889.64 / $8,016.55	Professional		$6,249.45	$6,889.64	$8,016.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,238.83 / $4,238.83 / $4,238.83	Professional		$4,238.83	$4,238.83	$4,238.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,509.62 / $6,889.64 / $9,852.19	Facility		$1,509.62	$6,889.64	$9,852.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,940.30 / $7,635.60 / $9,908.73	Professional		$2,940.30	$7,635.60	$9,908.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,545.00 / $5,272.20 / $7,970.02	Professional		$4,545.00	$5,272.20	$7,970.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,509.62 / $6,889.64 / $9,852.19	Facility		$1,509.62	$6,889.64	$9,852.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,188.35 / $5,403.00 / $8,284.50	Professional		$1,188.35	$5,403.00	$8,284.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,391.06 / $5,086.59 / $7,845.99	Professional		$3,391.06	$5,086.59	$7,845.99