Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,018.26 / $10,900.00 / $14,552.94	Facility		$3,018.26	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,773.35 / $4,773.35 / $6,539.81	Professional		$4,773.35	$4,773.35	$6,539.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,509.93 / $3,509.93 / $3,509.93	Professional		$3,509.93	$3,509.93	$3,509.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,267.20 / $4,773.35 / $6,825.90	Facility		$1,267.20	$4,773.35	$6,825.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,477.75 / $6,434.40 / $8,332.68	Professional		$2,477.75	$6,434.40	$8,332.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,830.00 / $4,442.80 / $6,426.20	Professional		$3,830.00	$4,442.80	$6,426.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,267.20 / $4,773.35 / $6,825.90	Facility		$1,267.20	$4,773.35	$6,825.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,381.78 / $4,473.00 / $6,487.07	Professional		$1,381.78	$4,473.00	$6,487.07
United Facility/Professional Professional Modifier Low / Median / High Price $2,782.90 / $4,211.91 / $6,400.67	Professional		$2,782.90	$4,211.91	$6,400.67