Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,680.55 / $9,813.00 / $14,552.94	Facility		$2,680.55	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,239.30 / $4,239.30 / $5,894.88	Professional		$4,239.30	$4,239.30	$5,894.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,121.06 / $3,121.06 / $3,121.06	Professional		$3,121.06	$3,121.06	$3,121.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,137.91 / $4,239.30 / $6,062.20	Facility		$1,137.91	$4,239.30	$6,062.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,189.05 / $5,684.70 / $7,446.14	Professional		$2,189.05	$5,684.70	$7,446.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,383.75 / $3,925.15 / $5,768.40	Professional		$3,383.75	$3,925.15	$5,768.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.91 / $4,239.30 / $6,062.20	Facility		$1,137.91	$4,239.30	$6,062.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,239.75 / $3,915.00 / $5,820.30	Professional		$1,239.75	$3,915.00	$5,820.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,284.59 / $3,745.26 / $5,769.46	Professional		$2,284.59	$3,745.26	$5,769.46