Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.33 / $1,391.18 / $6,721.73	Professional		$1,260.33	$1,391.18	$6,721.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.71 / $1,922.81 / $4,269.18	Professional		$1,235.71	$1,922.81	$4,269.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,277.55 / $6,721.73 / $9,410.42	Facility		$1,277.55	$6,721.73	$9,410.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,123.88 / $4,646.10 / $8,577.25	Professional		$3,123.88	$4,646.10	$8,577.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,349.71 / $5,964.80 / $9,531.95	Professional		$3,349.71	$5,964.80	$9,531.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,277.55 / $6,721.73 / $9,410.42	Facility		$1,277.55	$6,721.73	$9,410.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,518.02 / $4,590.00 / $8,213.09	Professional		$1,518.02	$4,590.00	$8,213.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,705.74 / $3,415.34 / $9,420.67	Professional		$1,705.74	$3,415.34	$9,420.67