Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,688.05 / $10,900.00 / $14,552.94	Facility		$3,688.05	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,530.82 / $6,953.68 / $8,099.46	Professional		$6,530.82	$6,953.68	$8,099.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.79 / $4,294.79 / $4,294.79	Professional		$4,294.79	$4,294.79	$4,294.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,564.66 / $6,953.68 / $9,943.76	Facility		$1,564.66	$6,953.68	$9,943.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,005.80 / $7,805.70 / $10,239.06	Professional		$3,005.80	$7,805.70	$10,239.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,646.25 / $5,389.65 / $7,911.20	Professional		$4,646.25	$5,389.65	$7,911.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,564.66 / $6,953.68 / $9,943.76	Facility		$1,564.66	$6,953.68	$9,943.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,706.68 / $5,379.00 / $8,012.39	Professional		$1,706.68	$5,379.00	$8,012.39
United Facility/Professional Professional Modifier Low / Median / High Price $3,138.63 / $5,183.33 / $11,179.73	Professional		$3,138.63	$5,183.33	$11,179.73