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 $3,526.66 / $3,889.73 / $19,105.88	Professional		$3,526.66	$3,889.73	$19,105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,454.99 / $5,421.24 / $12,305.85	Professional		$3,454.99	$5,421.24	$12,305.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,573.59 / $19,105.88 / $26,748.23	Facility		$3,573.59	$19,105.88	$26,748.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,646.23 / $13,164.21 / $24,375.45	Professional		$8,646.23	$13,164.21	$24,375.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,549.90 / $16,867.20 / $26,382.51	Professional		$9,549.90	$16,867.20	$26,382.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,573.59 / $19,105.88 / $26,748.23	Facility		$3,573.59	$19,105.88	$26,748.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,248.35 / $12,769.20 / $23,571.10	Professional		$4,248.35	$12,769.20	$23,571.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,849.33 / $9,844.68 / $27,154.97	Professional		$4,849.33	$9,844.68	$27,154.97