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 $4,939.21 / $5,235.12 / $6,113.52	Professional		$4,939.21	$5,235.12	$6,113.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.12 / $3,235.12 / $3,235.12	Professional		$3,235.12	$3,235.12	$3,235.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.05 / $5,235.12 / $7,486.22	Facility		$1,179.05	$5,235.12	$7,486.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,272.35 / $5,901.00 / $7,715.57	Professional		$2,272.35	$5,901.00	$7,715.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,512.50 / $4,074.50 / $5,990.60	Professional		$3,512.50	$4,074.50	$5,990.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,179.05 / $5,235.12 / $7,486.22	Facility		$1,179.05	$5,235.12	$7,486.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,290.58 / $4,063.50 / $6,058.91	Professional		$1,290.58	$4,063.50	$6,058.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.68 / $2,601.50 / $8,421.29	Professional		$1,277.68	$2,601.50	$8,421.29