Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,609.96 / $13,413.92 / $20,143.00	Facility		$3,609.96	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,709.14 / $5,709.14 / $7,935.01	Professional		$5,709.14	$5,709.14	$7,935.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,204.85 / $4,204.85 / $4,204.85	Professional		$4,204.85	$4,204.85	$4,204.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,531.35 / $5,709.14 / $8,164.07	Facility		$1,531.35	$5,709.14	$8,164.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,942.73 / $7,641.90 / $10,023.71	Professional		$2,942.73	$7,641.90	$10,023.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,548.75 / $5,276.55 / $7,757.20	Professional		$4,548.75	$5,276.55	$7,757.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,531.35 / $5,709.14 / $8,164.07	Facility		$1,531.35	$5,709.14	$8,164.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,671.05 / $5,271.00 / $7,845.14	Professional		$1,671.05	$5,271.00	$7,845.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,074.18 / $5,045.82 / $7,766.18	Professional		$3,074.18	$5,045.82	$7,766.18