Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,580.75 / $10,900.00 / $14,552.94	Facility		$4,580.75	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,546.13 / $1,705.12 / $8,374.50	Professional		$1,546.13	$1,705.12	$8,374.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.58 / $2,386.94 / $5,389.46	Professional		$1,516.58	$2,386.94	$5,389.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,566.70 / $8,374.50 / $11,724.30	Facility		$1,566.70	$8,374.50	$11,724.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,796.68 / $5,775.06 / $10,691.45	Professional		$3,796.68	$5,775.06	$10,691.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,187.70 / $7,387.20 / $11,584.91	Professional		$4,187.70	$7,387.20	$11,584.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,566.70 / $8,374.50 / $11,724.30	Facility		$1,566.70	$8,374.50	$11,724.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,865.45 / $5,601.60 / $10,289.21	Professional		$1,865.45	$5,601.60	$10,289.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,166.96 / $4,326.56 / $11,892.75	Professional		$2,166.96	$4,326.56	$11,892.75