Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,713.04 / $10,900.00 / $14,552.94	Facility		$3,713.04	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.20 / $5,872.17 / $6,587.44	Professional		$1,277.20	$5,872.17	$6,587.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,312.17 / $4,312.17 / $4,312.17	Professional		$4,312.17	$4,312.17	$4,312.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,577.36 / $5,872.17 / $8,397.20	Facility		$1,577.36	$5,872.17	$8,397.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,043.80 / $7,904.40 / $10,316.79	Professional		$3,043.80	$7,904.40	$10,316.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,705.00 / $5,457.80 / $7,966.20	Professional		$4,705.00	$5,457.80	$7,966.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,577.36 / $5,872.17 / $8,397.20	Facility		$1,577.36	$5,872.17	$8,397.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,717.60 / $5,419.50 / $8,063.68	Professional		$1,717.60	$5,419.50	$8,063.68
United Facility/Professional Professional Modifier Low / Median / High Price $3,172.15 / $3,459.02 / $7,955.75	Professional		$3,172.15	$3,459.02	$7,955.75