Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,376.97 / $3,724.30 / $18,259.63	Professional		$3,376.97	$3,724.30	$18,259.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,268.18 / $5,231.97 / $11,754.97	Professional		$3,268.18	$5,231.97	$11,754.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,422.07 / $18,259.63 / $25,563.48	Facility		$3,422.07	$18,259.63	$25,563.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,180.43 / $12,412.68 / $23,248.67	Professional		$8,180.43	$12,412.68	$23,248.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,754.00 / $13,958.00 / $24,961.23	Professional		$7,754.00	$13,958.00	$24,961.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,422.07 / $18,259.63 / $25,563.48	Facility		$3,422.07	$18,259.63	$25,563.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,020.56 / $12,018.70 / $22,667.95	Professional		$4,020.56	$12,018.70	$22,667.95
United Facility/Professional Professional Modifier Low / Median / High Price $7,836.00 / $9,403.98 / $25,939.37	Professional		$7,836.00	$9,403.98	$25,939.37