Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,646.53 / $10,900.00 / $14,552.94	Facility		$3,646.53	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.55 / $1,382.32 / $6,666.58	Professional		$1,252.55	$1,382.32	$6,666.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.49 / $1,908.99 / $4,240.34	Professional		$1,225.49	$1,908.99	$4,240.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,269.63 / $6,666.58 / $9,333.20	Facility		$1,269.63	$6,666.58	$9,333.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,096.38 / $4,602.78 / $8,502.73	Professional		$3,096.38	$4,602.78	$8,502.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,306.94 / $5,931.20 / $9,448.06	Professional		$3,306.94	$5,931.20	$9,448.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,269.63 / $6,666.58 / $9,333.20	Facility		$1,269.63	$6,666.58	$9,333.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,506.16 / $4,555.20 / $8,186.33	Professional		$1,506.16	$4,555.20	$8,186.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,695.67 / $3,392.28 / $9,357.06	Professional		$1,695.67	$3,392.28	$9,357.06