Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,376.23 / $13,413.92 / $20,143.00	Facility		$2,376.23	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,758.03 / $3,758.03 / $4,967.05	Professional		$3,758.03	$3,758.03	$4,967.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,707.61 / $2,707.61 / $2,707.61	Professional		$2,707.61	$2,707.61	$2,707.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.75 / $3,758.03 / $5,373.98	Facility		$1,003.75	$3,758.03	$5,373.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.93 / $5,071.50 / $6,588.73	Professional		$1,952.93	$5,071.50	$6,588.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,018.75 / $3,501.75 / $4,870.80	Professional		$3,018.75	$3,501.75	$4,870.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,003.75 / $3,758.03 / $5,373.98	Facility		$1,003.75	$3,758.03	$5,373.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,067.33 / $3,421.50 / $5,010.81	Professional		$1,067.33	$3,421.50	$5,010.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,048.31 / $3,249.12 / $4,861.37	Professional		$2,048.31	$3,249.12	$4,861.37