Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $12,022.64 / $16,595.87	Facility		$4,570.88	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $4,570.88	Professional		$1,348.96	$1,905.46	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $5,248.07	Professional		$1,479.11	$2,089.30	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $8,128.31	Facility		$1,513.56	$2,238.72	$8,128.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $9,332.54	Professional		$3,311.31	$4,897.79	$9,332.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,165.95 / $9,549.93	Professional		$3,981.07	$6,165.95	$9,549.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $8,128.31	Facility		$1,621.81	$2,570.40	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,187.76 / $5,248.07	Professional		$60.26	$2,187.76	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $4,168.69 / $10,000.00	Professional		$1,445.44	$4,168.69	$10,000.00