Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $12,022.64 / $16,595.87	Facility		$3,890.45	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,890.45	Professional		$1,174.90	$1,548.82	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $4,365.16	Professional		$1,258.93	$1,819.70	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $5,128.61	Facility		$1,318.26	$1,862.09	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $7,762.47	Professional		$2,818.38	$4,073.80	$7,762.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $7,585.78	Professional		$3,162.28	$5,370.32	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $5,128.61	Facility		$1,318.26	$1,949.84	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,905.46 / $4,365.16	Professional		$60.26	$1,905.46	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,548.13 / $8,511.38	Professional		$1,230.27	$3,548.13	$8,511.38