Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.36 / $10,900.00 / $14,552.94	Facility		$2,068.36	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,271.10 / $3,271.10 / $4,523.70	Professional		$3,271.10	$3,271.10	$4,523.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,484.90 / $2,484.90 / $2,484.90	Professional		$2,484.90	$2,484.90	$2,484.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $879.62 / $3,271.10 / $4,677.67	Facility		$879.62	$3,271.10	$4,677.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.28 / $4,431.00 / $5,753.54	Professional		$1,706.28	$4,431.00	$5,753.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,637.50 / $3,059.50 / $4,564.45	Professional		$2,637.50	$3,059.50	$4,564.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $879.62 / $3,271.10 / $4,677.67	Facility		$879.62	$3,271.10	$4,677.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,008.43 / $3,190.50 / $4,734.29	Professional		$1,008.43	$3,190.50	$4,734.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,775.96 / $1,987.92 / $4,427.45	Professional		$1,775.96	$1,987.92	$4,427.45