Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,727.61 / $10,900.00 / $14,552.94	Facility		$2,727.61	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,313.71 / $4,313.71 / $5,855.07	Professional		$4,313.71	$4,313.71	$5,855.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,125.30 / $3,125.30 / $3,125.30	Professional		$3,125.30	$3,125.30	$3,125.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.94 / $4,313.71 / $6,168.61	Facility		$1,156.94	$4,313.71	$6,168.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,366.15 / $6,144.60 / $7,550.92	Professional		$2,366.15	$6,144.60	$7,550.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,657.50 / $4,242.70 / $6,028.00	Professional		$3,657.50	$4,242.70	$6,028.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.94 / $4,313.71 / $6,168.61	Facility		$1,156.94	$4,313.71	$6,168.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,304.83 / $4,137.00 / $6,125.81	Professional		$1,304.83	$4,137.00	$6,125.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,467.60 / $3,750.36 / $5,730.50	Professional		$2,467.60	$3,750.36	$5,730.50