Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,339.31 / $4,339.31 / $6,016.23	Professional		$4,339.31	$4,339.31	$6,016.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,181.90 / $3,181.90 / $3,181.90	Professional		$3,181.90	$3,181.90	$3,181.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.49 / $4,339.31 / $6,205.21	Facility		$1,165.49	$4,339.31	$6,205.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,246.48 / $5,833.80 / $7,624.05	Professional		$2,246.48	$5,833.80	$7,624.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,472.50 / $4,028.10 / $5,891.60	Professional		$3,472.50	$4,028.10	$5,891.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,165.49 / $4,339.31 / $6,205.21	Facility		$1,165.49	$4,339.31	$6,205.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,273.00 / $3,994.50 / $5,976.40	Professional		$1,273.00	$3,994.50	$5,976.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,342.17 / $3,818.28 / $5,888.23	Professional		$2,342.17	$3,818.28	$5,888.23