Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,632.38 / $10,900.00 / $14,552.94	Facility		$2,632.38	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,163.12 / $4,163.12 / $5,772.12	Professional		$4,163.12	$4,163.12	$5,772.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,057.29 / $3,057.29 / $3,057.29	Professional		$3,057.29	$3,057.29	$3,057.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.39 / $4,163.12 / $5,953.26	Facility		$1,117.39	$4,163.12	$5,953.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.08 / $5,596.50 / $7,309.90	Professional		$2,155.08	$5,596.50	$7,309.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,331.25 / $3,864.25 / $5,658.40	Professional		$3,331.25	$3,864.25	$5,658.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,117.39 / $4,163.12 / $5,953.26	Facility		$1,117.39	$4,163.12	$5,953.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,217.43 / $3,841.50 / $5,715.49	Professional		$1,217.43	$3,841.50	$5,715.49
United Facility/Professional Professional Modifier Low / Median / High Price $2,249.38 / $3,668.73 / $5,649.31	Professional		$2,249.38	$3,668.73	$5,649.31