Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,768.70 / $10,900.00 / $14,552.94	Facility		$3,768.70	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.13 / $1,423.85 / $6,889.91	Professional		$1,289.13	$1,423.85	$6,889.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.55 / $1,970.23 / $4,393.68	Professional		$1,262.55	$1,970.23	$4,393.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,306.78 / $6,889.91 / $9,645.87	Facility		$1,306.78	$6,889.91	$9,645.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,186.95 / $4,759.95 / $8,789.50	Professional		$3,186.95	$4,759.95	$8,789.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,430.70 / $6,118.40 / $9,724.42	Professional		$3,430.70	$6,118.40	$9,724.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,306.78 / $6,889.91 / $9,645.87	Facility		$1,306.78	$6,889.91	$9,645.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $4,686.00 / $8,442.78	Professional		$1,546.07	$4,686.00	$8,442.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.66 / $3,514.96 / $9,695.45	Professional		$1,751.66	$3,514.96	$9,695.45