Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,668.62 / $10,900.00 / $14,552.94	Facility		$6,668.62	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,273.62 / $2,513.53 / $12,191.54	Professional		$2,273.62	$2,513.53	$12,191.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,228.21 / $3,469.77 / $7,789.83	Professional		$2,228.21	$3,469.77	$7,789.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,304.91 / $12,191.54 / $17,068.16	Facility		$2,304.91	$12,191.54	$17,068.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,611.30 / $8,422.59 / $15,558.57	Professional		$5,611.30	$8,422.59	$15,558.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,122.48 / $10,804.80 / $17,121.98	Professional		$6,122.48	$10,804.80	$17,121.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,304.91 / $12,191.54 / $17,068.16	Facility		$2,304.91	$12,191.54	$17,068.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,719.12 / $8,254.79 / $14,941.00	Professional		$2,719.12	$8,254.79	$14,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,097.50 / $6,231.86 / $17,189.59	Professional		$3,097.50	$6,231.86	$17,189.59