Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,980.72 / $10,480.00 / $13,413.92	Facility		$4,980.72	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,865.75 / $9,566.49 / $10,894.80	Professional		$8,865.75	$9,566.49	$10,894.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,815.24 / $5,815.24 / $5,815.24	Professional		$5,815.24	$5,815.24	$5,815.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,095.46 / $9,566.49 / $13,680.08	Facility		$2,095.46	$9,566.49	$13,680.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,185.63 / $10,869.60 / $13,722.09	Professional		$4,185.63	$10,869.60	$13,722.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,470.00 / $7,505.20 / $10,732.50	Professional		$6,470.00	$7,505.20	$10,732.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,095.46 / $9,566.49 / $13,680.08	Facility		$2,095.46	$9,566.49	$13,680.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,664.16 / $7,557.00 / $11,425.00	Professional		$1,664.16	$7,557.00	$11,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,636.10 / $6,978.27 / $10,663.03	Professional		$4,636.10	$6,978.27	$10,663.03