Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,524.70 / $13,413.92 / $20,143.00	Facility		$3,524.70	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,258.32 / $6,645.70 / $7,755.42	Professional		$6,258.32	$6,645.70	$7,755.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,107.79 / $4,107.79 / $4,107.79	Professional		$4,107.79	$4,107.79	$4,107.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,496.04 / $6,645.70 / $9,503.35	Facility		$1,496.04	$6,645.70	$9,503.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,878.03 / $7,473.90 / $9,791.08	Professional		$2,878.03	$7,473.90	$9,791.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,448.75 / $5,160.55 / $7,587.80	Professional		$4,448.75	$5,160.55	$7,587.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,496.04 / $6,645.70 / $9,503.35	Facility		$1,496.04	$6,645.70	$9,503.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,635.43 / $5,152.50 / $7,677.89	Professional		$1,635.43	$5,152.50	$7,677.89
United Facility/Professional Professional Modifier Low / Median / High Price $3,002.89 / $4,957.64 / $10,692.95	Professional		$3,002.89	$4,957.64	$10,692.95