Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,913.43 / $10,900.00 / $14,552.94	Facility		$2,913.43	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,607.60 / $4,607.60 / $6,401.21	Professional		$4,607.60	$4,607.60	$6,401.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,390.56 / $3,390.56 / $3,390.56	Professional		$3,390.56	$3,390.56	$3,390.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,237.43 / $4,607.60 / $6,588.87	Facility		$1,237.43	$4,607.60	$6,588.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,381.50 / $6,184.50 / $8,097.70	Professional		$2,381.50	$6,184.50	$8,097.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,681.25 / $4,270.25 / $6,263.40	Professional		$3,681.25	$4,270.25	$6,263.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,237.43 / $4,607.60 / $6,588.87	Facility		$1,237.43	$4,607.60	$6,588.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,350.43 / $4,252.50 / $6,339.89	Professional		$1,350.43	$4,252.50	$6,339.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,712.46 / $4,068.69 / $6,265.02	Professional		$2,712.46	$4,068.69	$6,265.02