Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,624.55 / $9,774.00 / $14,552.94	Facility		$3,624.55	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.42 / $1,369.84 / $6,626.39	Professional		$1,240.42	$1,369.84	$6,626.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.22 / $1,888.61 / $4,207.58	Professional		$1,217.22	$1,888.61	$4,207.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.40 / $6,626.39 / $9,276.95	Facility		$1,257.40	$6,626.39	$9,276.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,075.35 / $4,583.55 / $8,460.32	Professional		$3,075.35	$4,583.55	$8,460.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,226.96 / $5,765.10 / $9,383.90	Professional		$3,226.96	$5,765.10	$9,383.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,257.40 / $6,626.39 / $9,276.95	Facility		$1,257.40	$6,626.39	$9,276.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,492.99 / $4,433.75 / $7,909.81	Professional		$1,492.99	$4,433.75	$7,909.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,896.18 / $3,366.06 / $9,284.74	Professional		$2,896.18	$3,366.06	$9,284.74