Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,790.22 / $10,900.00 / $14,552.94	Facility		$3,790.22	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,994.23 / $5,994.23 / $8,356.60	Professional		$5,994.23	$5,994.23	$8,356.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,422.70 / $4,422.70 / $4,422.70	Professional		$4,422.70	$4,422.70	$4,422.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,607.76 / $5,994.23 / $8,571.75	Facility		$1,607.76	$5,994.23	$8,571.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,086.68 / $8,015.70 / $10,521.62	Professional		$3,086.68	$8,015.70	$10,521.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,771.25 / $5,534.65 / $8,166.40	Professional		$4,771.25	$5,534.65	$8,166.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,607.76 / $5,994.23 / $8,571.75	Facility		$1,607.76	$5,994.23	$8,571.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,756.55 / $5,541.00 / $8,246.54	Professional		$1,756.55	$5,541.00	$8,246.54
United Facility/Professional Professional Modifier Low / Median / High Price $3,224.56 / $5,307.24 / $8,178.80	Professional		$3,224.56	$5,307.24	$8,178.80