Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,316.17 / $10,900.00 / $14,552.94	Facility		$3,316.17	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.08 / $1,257.35 / $6,062.61	Professional		$1,140.08	$1,257.35	$6,062.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.93 / $1,738.34 / $3,848.54	Professional		$1,115.93	$1,738.34	$3,848.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.55 / $6,062.61 / $8,487.65	Facility		$1,155.55	$6,062.61	$8,487.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,822.23 / $4,185.57 / $7,731.30	Professional		$2,822.23	$4,185.57	$7,731.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,035.76 / $5,217.93 / $8,611.58	Professional		$3,035.76	$5,217.93	$8,611.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,155.55 / $6,062.61 / $8,487.65	Facility		$1,155.55	$6,062.61	$8,487.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,374.11 / $4,152.00 / $7,448.32	Professional		$1,374.11	$4,152.00	$7,448.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,646.60 / $3,078.84 / $8,492.49	Professional		$2,646.60	$3,078.84	$8,492.49