Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,024.62 / $10,900.00 / $14,552.94	Facility		$4,024.62	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.72 / $1,519.23 / $7,357.80	Professional		$1,375.72	$1,519.23	$7,357.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.10 / $2,098.30 / $4,680.89	Professional		$1,350.10	$2,098.30	$4,680.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,394.53 / $7,357.80 / $10,300.92	Facility		$1,394.53	$7,357.80	$10,300.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,409.33 / $5,088.47 / $9,392.62	Professional		$3,409.33	$5,088.47	$9,392.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,679.13 / $6,520.00 / $10,402.98	Professional		$3,679.13	$6,520.00	$10,402.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,394.53 / $7,357.80 / $10,300.92	Facility		$1,394.53	$7,357.80	$10,300.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,654.27 / $5,007.60 / $9,022.58	Professional		$1,654.27	$5,007.60	$9,022.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.40 / $3,744.72 / $10,329.20	Professional		$1,866.40	$3,744.72	$10,329.20