Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,201.77 / $10,480.00 / $13,413.92	Facility		$4,201.77	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,446.25 / $7,922.27 / $9,254.29	Professional		$7,446.25	$7,922.27	$9,254.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,903.50 / $4,903.50 / $4,903.50	Professional		$4,903.50	$4,903.50	$4,903.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,781.47 / $7,922.27 / $11,328.85	Facility		$1,781.47	$7,922.27	$11,328.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,415.80 / $8,870.40 / $11,663.80	Professional		$3,415.80	$8,870.40	$11,663.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,280.00 / $6,124.80 / $9,031.00	Professional		$5,280.00	$6,124.80	$9,031.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,781.47 / $7,922.27 / $11,328.85	Facility		$1,781.47	$7,922.27	$11,328.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,947.98 / $6,136.50 / $9,145.23	Professional		$1,947.98	$6,136.50	$9,145.23
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.80 / $5,917.96 / $9,807.00	Professional		$3,570.80	$5,917.96	$9,807.00