Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $11,709.00 / $14,552.94	Facility		$9,285.00	$11,709.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,379.22 / $4,829.89 / $23,730.23	Professional		$4,379.22	$4,829.89	$23,730.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,292.63 / $6,729.24 / $15,292.33	Professional		$4,292.63	$6,729.24	$15,292.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,437.50 / $23,730.23 / $33,222.32	Facility		$4,437.50	$23,730.23	$33,222.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,748.75 / $16,358.67 / $30,278.16	Professional		$10,748.75	$16,358.67	$30,278.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,859.30 / $20,987.20 / $32,798.01	Professional		$11,859.30	$20,987.20	$32,798.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,437.50 / $23,730.23 / $33,222.32	Facility		$4,437.50	$23,730.23	$33,222.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,279.04 / $16,140.64 / $28,994.46	Professional		$5,279.04	$16,140.64	$28,994.46
United Facility/Professional Professional Modifier Low / Median / High Price $6,033.04 / $12,233.86 / $33,745.15	Professional		$6,033.04	$12,233.86	$33,745.15