Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,888.85 / $13,413.92 / $20,595.00	Facility		$2,888.85	$13,413.92	$20,595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $1,005.99 / $5,281.38	Professional		$863.37	$1,005.99	$5,281.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,741.63 / $1,741.63 / $3,334.15	Professional		$1,741.63	$1,741.63	$3,334.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,281.38 / $7,393.93 / $7,552.37	Facility		$5,281.38	$7,393.93	$7,552.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,226.33 / $2,968.44 / $5,353.25	Professional		$2,226.33	$2,968.44	$5,353.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,336.00 / $4,089.15 / $8,259.29	Professional		$2,336.00	$4,089.15	$8,259.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,281.38 / $7,393.93 / $7,552.37	Facility		$5,281.38	$7,393.93	$7,552.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,381.30 / $3,059.90 / $6,841.78	Professional		$1,381.30	$3,059.90	$6,841.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.74 / $2,667.32 / $4,023.93	Professional		$1,110.74	$2,667.32	$4,023.93