Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,704.33 / $10,900.00 / $14,552.94	Facility		$4,704.33	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.77 / $1,776.64 / $8,600.43	Professional		$1,608.77	$1,776.64	$8,600.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.56 / $2,454.19 / $5,480.33	Professional		$1,576.56	$2,454.19	$5,480.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,630.76 / $8,600.43 / $12,040.60	Facility		$1,630.76	$8,600.43	$12,040.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,977.80 / $5,942.46 / $10,974.70	Professional		$3,977.80	$5,942.46	$10,974.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,293.38 / $7,630.40 / $12,137.63	Professional		$4,293.38	$7,630.40	$12,137.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,630.76 / $8,600.43 / $12,040.60	Facility		$1,630.76	$8,600.43	$12,040.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,930.58 / $5,848.80 / $10,556.82	Professional		$1,930.58	$5,848.80	$10,556.82
United Facility/Professional Professional Modifier Low / Median / High Price $3,756.90 / $4,384.26 / $13,152.78	Professional		$3,756.90	$4,384.26	$13,152.78