Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,930.12 / $10,900.00 / $14,552.94	Facility		$4,930.12	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,683.78 / $1,860.61 / $9,013.21	Professional		$1,683.78	$1,860.61	$9,013.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.23 / $2,567.64 / $5,745.58	Professional		$1,651.23	$2,567.64	$5,745.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,706.91 / $9,013.21 / $12,618.51	Facility		$1,706.91	$9,013.21	$12,618.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,162.18 / $6,230.16 / $11,507.05	Professional		$4,162.18	$6,230.16	$11,507.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,497.22 / $7,987.20 / $12,700.22	Professional		$4,497.22	$7,987.20	$12,700.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,706.91 / $9,013.21 / $12,618.51	Facility		$1,706.91	$9,013.21	$12,618.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,019.36 / $6,118.80 / $11,020.66	Professional		$2,019.36	$6,118.80	$11,020.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,288.00 / $4,596.46 / $12,678.60	Professional		$2,288.00	$4,596.46	$12,678.60