Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,680.06 / $5,680.06 / $5,716.49	Professional		$5,680.06	$5,680.06	$5,716.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,873.76 / $1,873.76 / $3,603.87	Professional		$1,873.76	$1,873.76	$3,603.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,680.06 / $7,952.08 / $8,122.49	Facility		$5,680.06	$7,952.08	$8,122.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,376.98 / $3,169.32 / $5,715.50	Professional		$2,376.98	$3,169.32	$5,715.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,346.19 / $4,364.55 / $8,818.20	Professional		$2,346.19	$4,364.55	$8,818.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,680.06 / $7,952.08 / $8,122.49	Facility		$5,680.06	$7,952.08	$8,122.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,488.18 / $3,276.70 / $7,320.75	Professional		$1,488.18	$3,276.70	$7,320.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,195.48 / $2,883.10 / $2,885.36	Professional		$1,195.48	$2,883.10	$2,885.36