Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,631.50 / $10,900.00 / $14,552.94	Facility		$3,631.50	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,743.21 / $5,743.21 / $7,971.62	Professional		$5,743.21	$5,743.21	$7,971.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,226.41 / $4,226.41 / $4,226.41	Professional		$4,226.41	$4,226.41	$4,226.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,541.53 / $5,743.21 / $8,212.79	Facility		$1,541.53	$5,743.21	$8,212.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,965.38 / $7,700.70 / $10,087.09	Professional		$2,965.38	$7,700.70	$10,087.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,583.75 / $5,317.15 / $7,796.80	Professional		$4,583.75	$5,317.15	$7,796.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,541.53 / $5,743.21 / $8,212.79	Facility		$1,541.53	$5,743.21	$8,212.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,680.08 / $5,301.00 / $7,887.51	Professional		$1,680.08	$5,301.00	$7,887.51
United Facility/Professional Professional Modifier Low / Median / High Price $3,094.82 / $5,071.68 / $7,802.01	Professional		$3,094.82	$5,071.68	$7,802.01