Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,612.92 / $10,900.00 / $14,552.94	Facility		$2,612.92	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,132.33 / $4,132.33 / $5,732.92	Professional		$4,132.33	$4,132.33	$5,732.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,035.82 / $3,035.82 / $3,035.82	Professional		$3,035.82	$3,035.82	$3,035.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,109.98 / $4,132.33 / $5,909.23	Facility		$1,109.98	$4,132.33	$5,909.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,141.35 / $5,560.80 / $7,261.09	Professional		$2,141.35	$5,560.80	$7,261.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,310.00 / $3,839.60 / $5,621.00	Professional		$3,310.00	$3,839.60	$5,621.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,109.98 / $4,132.33 / $5,909.23	Facility		$1,109.98	$4,132.33	$5,909.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,205.55 / $3,814.50 / $5,659.74	Professional		$1,205.55	$3,814.50	$5,659.74
United Facility/Professional Professional Modifier Low / Median / High Price $2,232.17 / $3,642.99 / $5,610.94	Professional		$2,232.17	$3,642.99	$5,610.94