Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,297.31 / $10,900.00 / $14,552.94	Facility		$3,297.31	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.89 / $1,251.89 / $6,028.14	Professional		$1,134.89	$1,251.89	$6,028.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.25 / $1,734.91 / $3,831.29	Professional		$1,110.25	$1,734.91	$3,831.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,150.33 / $6,028.14 / $8,439.40	Facility		$1,150.33	$6,028.14	$8,439.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,807.68 / $4,160.79 / $7,688.12	Professional		$2,807.68	$4,160.79	$7,688.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,971.15 / $5,372.80 / $8,567.16	Professional		$2,971.15	$5,372.80	$8,567.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,150.33 / $6,028.14 / $8,439.40	Facility		$1,150.33	$6,028.14	$8,439.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,367.66 / $4,130.39 / $7,423.48	Professional		$1,367.66	$4,130.39	$7,423.48
United Facility/Professional Professional Modifier Low / Median / High Price $2,631.82 / $3,274.99 / $8,454.42	Professional		$2,631.82	$3,274.99	$8,454.42