Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,971.24 / $5,270.66 / $6,155.26	Professional		$4,971.24	$5,270.66	$6,155.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,256.94 / $3,256.94 / $3,256.94	Professional		$3,256.94	$3,256.94	$3,256.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.95 / $5,270.66 / $7,537.04	Facility		$1,186.95	$5,270.66	$7,537.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,286.90 / $5,938.80 / $7,766.53	Professional		$2,286.90	$5,938.80	$7,766.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,535.00 / $4,100.60 / $6,030.20	Professional		$3,535.00	$4,100.60	$6,030.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,186.95 / $5,270.66 / $7,537.04	Facility		$1,186.95	$5,270.66	$7,537.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,299.13 / $4,090.50 / $6,099.05	Professional		$1,299.13	$4,090.50	$6,099.05
United Facility/Professional Professional Modifier Low / Median / High Price $2,385.12 / $3,930.76 / $8,478.11	Professional		$2,385.12	$3,930.76	$8,478.11