Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,689.43 / $10,900.00 / $14,552.94	Facility		$2,689.43	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,668.01 / $4,668.01 / $5,898.12	Professional		$4,668.01	$4,668.01	$5,898.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.71 / $3,148.71 / $3,148.71	Professional		$3,148.71	$3,148.71	$3,148.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,136.72 / $4,668.01 / $6,675.25	Facility		$1,136.72	$4,668.01	$6,675.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,276.38 / $5,911.50 / $7,416.31	Professional		$2,276.38	$5,911.50	$7,416.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,518.75 / $4,081.75 / $5,962.00	Professional		$3,518.75	$4,081.75	$5,962.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,136.72 / $4,668.01 / $6,675.25	Facility		$1,136.72	$4,668.01	$6,675.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,294.38 / $4,099.50 / $6,076.75	Professional		$1,294.38	$4,099.50	$6,076.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.50 / $2,518.96 / $5,772.63	Professional		$1,170.50	$2,518.96	$5,772.63