Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,399.01 / $10,900.00 / $14,552.94	Facility		$4,399.01	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.99 / $1,660.28 / $8,042.22	Professional		$1,502.99	$1,660.28	$8,042.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.33 / $2,291.35 / $5,118.29	Professional		$1,474.33	$2,291.35	$5,118.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,523.58 / $8,042.22 / $11,259.11	Facility		$1,523.58	$8,042.22	$11,259.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,719.85 / $5,559.60 / $10,266.08	Professional		$3,719.85	$5,559.60	$10,266.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,020.38 / $7,121.60 / $11,350.50	Professional		$4,020.38	$7,121.60	$11,350.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,523.58 / $8,042.22 / $11,259.11	Facility		$1,523.58	$8,042.22	$11,259.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,804.88 / $5,467.20 / $9,812.00	Professional		$1,804.88	$5,467.20	$9,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,514.32 / $4,094.62 / $11,294.35	Professional		$3,514.32	$4,094.62	$11,294.35