Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $11,709.00 / $14,552.94	Facility		$9,285.00	$11,709.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,186.97 / $4,625.00 / $22,425.97	Professional		$4,186.97	$4,625.00	$22,425.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,117.34 / $6,394.63 / $14,295.41	Professional		$4,117.34	$6,394.63	$14,295.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,244.33 / $22,425.97 / $31,396.36	Facility		$4,244.33	$22,425.97	$31,396.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,401.03 / $15,535.71 / $28,659.35	Professional		$10,401.03	$15,535.71	$28,659.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,153.00 / $19,042.50 / $31,736.99	Professional		$11,153.00	$19,042.50	$31,736.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,244.33 / $22,425.97 / $31,396.36	Facility		$4,244.33	$22,425.97	$31,396.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,042.02 / $15,248.40 / $27,672.07	Professional		$5,042.02	$15,248.40	$27,672.07
United Facility/Professional Professional Modifier Low / Median / High Price $9,810.77 / $11,436.34 / $31,545.31	Professional		$9,810.77	$11,436.34	$31,545.31