Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,671.54 / $10,900.00 / $14,552.94	Facility		$3,671.54	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.15 / $1,391.09 / $6,712.31	Professional		$1,262.15	$1,391.09	$6,712.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.09 / $1,923.77 / $4,221.33	Professional		$1,246.09	$1,923.77	$4,221.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,279.24 / $6,712.31 / $9,397.23	Facility		$1,279.24	$6,712.31	$9,397.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,169.95 / $4,668.35 / $8,594.14	Professional		$3,169.95	$4,668.35	$8,594.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,346.07 / $5,940.80 / $9,596.60	Professional		$3,346.07	$5,940.80	$9,596.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,279.24 / $6,712.31 / $9,397.23	Facility		$1,279.24	$6,712.31	$9,397.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,541.35 / $4,618.75 / $8,184.99	Professional		$1,541.35	$4,618.75	$8,184.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,694.91 / $3,377.06 / $9,315.08	Professional		$1,694.91	$3,377.06	$9,315.08