Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,228.74 / $10,900.00 / $14,552.94	Facility		$4,228.74	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.38 / $1,577.37 / $7,730.95	Professional		$1,431.38	$1,577.37	$7,730.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.46 / $2,232.64 / $4,954.72	Professional		$1,405.46	$2,232.64	$4,954.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,450.35 / $7,730.95 / $10,823.33	Facility		$1,450.35	$7,730.95	$10,823.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,529.00 / $5,337.72 / $9,873.60	Professional		$3,529.00	$5,337.72	$9,873.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,877.20 / $6,817.60 / $10,768.17	Professional		$3,877.20	$6,817.60	$10,768.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,450.35 / $7,730.95 / $10,823.33	Facility		$1,450.35	$7,730.95	$10,823.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,731.92 / $5,197.20 / $9,488.65	Professional		$1,731.92	$5,197.20	$9,488.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,821.02 / $3,963.78 / $10,933.45	Professional		$1,821.02	$3,963.78	$10,933.45