Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,627.71 / $10,900.00 / $14,552.94	Facility		$3,627.71	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,428.63 / $5,737.22 / $8,060.31	Professional		$2,428.63	$5,737.22	$8,060.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,182.50 / $4,182.50 / $4,182.50	Professional		$4,182.50	$4,182.50	$4,182.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,562.38 / $5,737.22 / $8,204.21	Facility		$1,562.38	$5,737.22	$8,204.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,145.70 / $8,169.00 / $10,224.76	Professional		$3,145.70	$8,169.00	$10,224.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,862.50 / $5,640.50 / $8,192.79	Professional		$4,862.50	$5,640.50	$8,192.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,562.38 / $5,737.22 / $8,204.21	Facility		$1,562.38	$5,737.22	$8,204.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,772.70 / $5,386.50 / $8,322.36	Professional		$1,772.70	$5,386.50	$8,322.36
United Facility/Professional Professional Modifier Low / Median / High Price $3,198.77 / $5,019.00 / $7,888.82	Professional		$3,198.77	$5,019.00	$7,888.82