Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,064.55 / $10,900.00 / $14,552.94	Facility		$3,064.55	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,846.59 / $4,846.59 / $6,735.52	Professional		$4,846.59	$4,846.59	$6,735.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,568.55 / $3,568.55 / $3,568.55	Professional		$3,568.55	$3,568.55	$3,568.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,301.03 / $4,846.59 / $6,930.62	Facility		$1,301.03	$4,846.59	$6,930.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,502.00 / $6,497.40 / $8,510.26	Professional		$2,502.00	$6,497.40	$8,510.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,867.50 / $4,486.30 / $6,586.80	Professional		$3,867.50	$4,486.30	$6,586.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,301.03 / $4,846.59 / $6,930.62	Facility		$1,301.03	$4,846.59	$6,930.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,418.83 / $4,474.50 / $6,661.01	Professional		$1,418.83	$4,474.50	$6,661.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,611.08 / $4,282.26 / $6,592.21	Professional		$2,611.08	$4,282.26	$6,592.21