Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,955.30 / $14,552.94	Facility		$9,285.00	$10,955.30	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,701.41 / $4,080.58 / $20,028.34	Professional		$3,701.41	$4,080.58	$20,028.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,631.74 / $5,690.14 / $12,870.90	Professional		$3,631.74	$5,690.14	$12,870.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,750.55 / $20,028.34 / $28,039.69	Facility		$3,750.55	$20,028.34	$28,039.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9,103.12 / $13,816.26 / $25,568.24	Professional		$9,103.12	$13,816.26	$25,568.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,024.20 / $17,686.40 / $27,776.65	Professional		$10,024.20	$17,686.40	$27,776.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,750.55 / $20,028.34 / $28,039.69	Facility		$3,750.55	$20,028.34	$28,039.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,470.39 / $13,423.20 / $24,634.81	Professional		$4,470.39	$13,423.20	$24,634.81
United Facility/Professional Professional Modifier Low / Median / High Price $8,752.60 / $10,297.18 / $28,401.85	Professional		$8,752.60	$10,297.18	$28,401.85