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 $4,897.03 / $5,196.53 / $6,031.84	Professional		$4,897.03	$5,196.53	$6,031.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,200.18 / $3,200.18 / $3,200.18	Professional		$3,200.18	$3,200.18	$3,200.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,170.28 / $5,196.53 / $7,431.04	Facility		$1,170.28	$5,196.53	$7,431.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,260.19 / $5,869.50 / $7,660.45	Professional		$2,260.19	$5,869.50	$7,660.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,493.75 / $4,052.75 / $5,972.00	Professional		$3,493.75	$4,052.75	$5,972.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,170.28 / $5,196.53 / $7,431.04	Facility		$1,170.28	$5,196.53	$7,431.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,276.80 / $4,026.00 / $5,994.24	Professional		$1,276.80	$4,026.00	$5,994.24
United Facility/Professional Professional Modifier Low / Median / High Price $2,357.61 / $3,862.24 / $8,330.32	Professional		$2,357.61	$3,862.24	$8,330.32