Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,820.00 / $10,850.00 / $14,552.94	Facility		$6,820.00	$10,850.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,206.56 / $5,348.87 / $25,986.04	Professional		$4,206.56	$5,348.87	$25,986.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,735.68 / $7,374.57 / $16,688.38	Professional		$4,735.68	$7,374.57	$16,688.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,902.66 / $25,986.04 / $36,380.46	Facility		$4,902.66	$25,986.04	$36,380.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11,913.23 / $17,941.89 / $33,144.76	Professional		$11,913.23	$17,941.89	$33,144.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,071.24 / $23,137.60 / $36,351.21	Professional		$13,071.24	$23,137.60	$36,351.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,902.66 / $25,986.04 / $36,380.46	Facility		$4,902.66	$25,986.04	$36,380.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,838.59 / $17,542.80 / $31,781.96	Professional		$5,838.59	$17,542.80	$31,781.96
United Facility/Professional Professional Modifier Low / Median / High Price $11,346.23 / $13,350.70 / $36,825.76	Professional		$11,346.23	$13,350.70	$36,825.76