Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,353.40 / $10,900.00 / $14,552.94	Facility		$3,353.40	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.42 / $1,230.26 / $6,101.12	Professional		$1,088.42	$1,230.26	$6,101.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.79 / $1,750.19 / $3,903.92	Professional		$1,123.79	$1,750.19	$3,903.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,045.29 / $6,101.12 / $8,541.57	Facility		$1,045.29	$6,101.12	$8,541.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,839.23 / $3,887.29 / $7,824.69	Professional		$2,839.23	$3,887.29	$7,824.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,056.69 / $5,090.95 / $6,754.00	Professional		$3,056.69	$5,090.95	$6,754.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,045.29 / $6,101.12 / $8,541.57	Facility		$1,045.29	$6,101.12	$8,541.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,376.04 / $4,168.80 / $6,754.00	Professional		$1,376.04	$4,168.80	$6,754.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,375.32 / $3,123.14 / $7,168.13	Professional		$1,375.32	$3,123.14	$7,168.13