Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,651.66 / $10,900.00 / $14,552.94	Facility		$3,651.66	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,775.09 / $5,775.09 / $8,014.58	Professional		$5,775.09	$5,775.09	$8,014.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,248.04 / $4,248.04 / $4,248.04	Professional		$4,248.04	$4,248.04	$4,248.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,550.35 / $5,775.09 / $8,258.37	Facility		$1,550.35	$5,775.09	$8,258.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,983.15 / $7,746.90 / $10,141.37	Professional		$2,983.15	$7,746.90	$10,141.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,611.25 / $5,349.05 / $7,838.60	Professional		$4,611.25	$5,349.05	$7,838.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,550.35 / $5,775.09 / $8,258.37	Facility		$1,550.35	$5,775.09	$8,258.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,689.10 / $5,326.50 / $7,929.88	Professional		$1,689.10	$5,326.50	$7,929.88
United Facility/Professional Professional Modifier Low / Median / High Price $3,111.99 / $5,097.66 / $7,844.06	Professional		$3,111.99	$5,097.66	$7,844.06