Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,764.27 / $10,900.00 / $14,552.94	Facility		$2,764.27	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,371.68 / $4,371.68 / $6,068.08	Professional		$4,371.68	$4,371.68	$6,068.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,214.97 / $3,214.97 / $3,214.97	Professional		$3,214.97	$3,214.97	$3,214.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.41 / $4,371.68 / $6,251.50	Facility		$1,174.41	$4,371.68	$6,251.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,263.44 / $5,877.90 / $7,680.47	Professional		$2,263.44	$5,877.90	$7,680.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,498.75 / $4,058.55 / $5,942.20	Professional		$3,498.75	$4,058.55	$5,942.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.41 / $4,371.68 / $6,251.50	Facility		$1,174.41	$4,371.68	$6,251.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,281.08 / $4,036.50 / $6,014.31	Professional		$1,281.08	$4,036.50	$6,014.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,359.34 / $3,857.97 / $6,429.95	Professional		$2,359.34	$3,857.97	$6,429.95