Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,646.21 / $10,900.00 / $14,552.94	Facility		$3,646.21	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.71 / $1,382.94 / $6,665.99	Professional		$1,097.71	$1,382.94	$6,665.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.22 / $1,874.06 / $4,224.29	Professional		$1,226.22	$1,874.06	$4,224.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,270.58 / $6,665.99 / $9,332.39	Facility		$1,270.58	$6,665.99	$9,332.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,106.88 / $4,610.72 / $8,499.92	Professional		$3,106.88	$4,610.72	$8,499.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,251.60 / $5,709.00 / $9,386.00	Professional		$3,251.60	$5,709.00	$9,386.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,270.58 / $6,665.99 / $9,332.39	Facility		$1,270.58	$6,665.99	$9,332.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,508.66 / $4,561.20 / $8,067.21	Professional		$1,508.66	$4,561.20	$8,067.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,689.69 / $3,379.44 / $9,321.64	Professional		$1,689.69	$3,379.44	$9,321.64