Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,524.32 / $10,900.00 / $14,552.94	Facility		$5,524.32	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,826.45 / $1,955.72 / $10,099.50	Professional		$1,826.45	$1,955.72	$10,099.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.08 / $2,891.64 / $6,439.96	Professional		$1,788.08	$2,891.64	$6,439.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,843.46 / $10,099.50 / $14,139.30	Facility		$1,843.46	$10,099.50	$14,139.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,488.08 / $6,960.06 / $12,884.08	Professional		$4,488.08	$6,960.06	$12,884.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,909.50 / $8,673.60 / $13,694.63	Professional		$4,909.50	$8,673.60	$13,694.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,843.46 / $10,099.50 / $14,139.30	Facility		$1,843.46	$10,099.50	$14,139.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,212.58 / $6,622.80 / $12,195.87	Professional		$2,212.58	$6,622.80	$12,195.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,485.83 / $5,151.96 / $14,210.86	Professional		$2,485.83	$5,151.96	$14,210.86