Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,217.18 / $13,413.92 / $20,143.00	Facility		$3,217.18	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,087.97 / $5,087.97 / $7,055.12	Professional		$5,087.97	$5,087.97	$7,055.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,740.48 / $3,740.48 / $3,740.48	Professional		$3,740.48	$3,740.48	$3,740.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,365.48 / $5,087.97 / $7,275.81	Facility		$1,365.48	$5,087.97	$7,275.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.58 / $6,831.30 / $8,933.08	Professional		$2,630.58	$6,831.30	$8,933.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,066.25 / $4,716.85 / $6,995.51	Professional		$4,066.25	$4,716.85	$6,995.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,365.48 / $5,087.97 / $7,275.81	Facility		$1,365.48	$5,087.97	$7,275.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,490.08 / $4,695.00 / $7,012.00	Professional		$1,490.08	$4,695.00	$7,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,745.13 / $4,488.57 / $6,905.01	Professional		$2,745.13	$4,488.57	$6,905.01