Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,964.78 / $16,595.87	Facility		$3,801.89	$10,964.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,801.89	Professional		$1,148.15	$1,513.56	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $4,265.80	Professional		$1,230.27	$1,778.28	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $6,760.83	Facility		$1,258.93	$1,905.46	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $7,585.78	Professional		$2,754.23	$3,981.07	$7,585.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $7,413.10	Professional		$3,090.30	$5,128.61	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $4,897.79	Facility		$1,380.38	$1,995.26	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,862.09 / $4,265.80	Professional		$60.26	$1,862.09	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,388.44 / $8,128.31	Professional		$1,202.26	$3,388.44	$8,128.31