Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,815.73 / $10,900.00 / $14,552.94	Facility		$2,815.73	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,453.08 / $4,453.08 / $6,184.40	Professional		$4,453.08	$4,453.08	$6,184.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,276.78 / $3,276.78 / $3,276.78	Professional		$3,276.78	$3,276.78	$3,276.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.04 / $4,453.08 / $6,367.90	Facility		$1,196.04	$4,453.08	$6,367.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,303.08 / $5,980.80 / $7,825.09	Professional		$2,303.08	$5,980.80	$7,825.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,560.00 / $4,129.60 / $6,052.20	Professional		$3,560.00	$4,129.60	$6,052.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,196.04 / $4,453.08 / $6,367.90	Facility		$1,196.04	$4,453.08	$6,367.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,304.34 / $4,111.50 / $6,123.58	Professional		$1,304.34	$4,111.50	$6,123.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.59 / $3,932.13 / $6,052.82	Professional		$2,400.59	$3,932.13	$6,052.82