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 $4,212.97 / $4,464.25 / $5,189.93	Professional		$4,212.97	$4,464.25	$5,189.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,750.61 / $2,750.61 / $2,750.61	Professional		$2,750.61	$2,750.61	$2,750.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,005.92 / $4,464.25 / $6,383.88	Facility		$1,005.92	$4,464.25	$6,383.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,944.83 / $5,050.50 / $6,579.76	Professional		$1,944.83	$5,050.50	$6,579.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,006.25 / $3,487.25 / $5,097.39	Professional		$3,006.25	$3,487.25	$5,097.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.92 / $4,464.25 / $6,383.88	Facility		$1,005.92	$4,464.25	$6,383.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,098.68 / $3,463.50 / $5,157.99	Professional		$1,098.68	$3,463.50	$5,157.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,025.98 / $3,319.66 / $7,160.04	Professional		$2,025.98	$3,319.66	$7,160.04