Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,263.74 / $10,900.00 / $14,552.94	Facility		$4,263.74	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.05 / $1,591.12 / $7,794.94	Professional		$1,444.05	$1,591.12	$7,794.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,417.72 / $2,221.12 / $4,988.27	Professional		$1,417.72	$2,221.12	$4,988.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,463.18 / $7,794.94 / $10,912.92	Facility		$1,463.18	$7,794.94	$10,912.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,560.55 / $5,381.34 / $9,954.56	Professional		$3,560.55	$5,381.34	$9,954.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,910.50 / $6,867.20 / $10,864.40	Professional		$3,910.50	$6,867.20	$10,864.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,463.18 / $7,794.94 / $10,912.92	Facility		$1,463.18	$7,794.94	$10,912.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,747.49 / $5,244.00 / $9,571.16	Professional		$1,747.49	$5,244.00	$9,571.16
United Facility/Professional Professional Modifier Low / Median / High Price $3,407.68 / $3,990.62 / $11,007.49	Professional		$3,407.68	$3,990.62	$11,007.49