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 $1,084.54 / $5,326.91 / $5,650.28	Professional		$1,084.54	$5,326.91	$5,650.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,493.08 / $3,493.08 / $3,493.08	Professional		$3,493.08	$3,493.08	$3,493.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,272.67 / $5,650.28 / $8,079.90	Facility		$1,272.67	$5,650.28	$8,079.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,450.25 / $6,363.00 / $8,326.95	Professional		$2,450.25	$6,363.00	$8,326.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,787.50 / $4,393.50 / $6,470.20	Professional		$3,787.50	$4,393.50	$6,470.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,272.67 / $5,650.28 / $8,079.90	Facility		$1,272.67	$5,650.28	$8,079.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,393.65 / $4,383.00 / $6,542.82	Professional		$1,393.65	$4,383.00	$6,542.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,554.39 / $4,215.74 / $9,092.77	Professional		$2,554.39	$4,215.74	$9,092.77