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 $4,150.03 / $4,401.88 / $5,116.09	Professional		$4,150.03	$4,401.88	$5,116.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,712.31 / $2,712.31 / $2,712.31	Professional		$2,712.31	$2,712.31	$2,712.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $991.25 / $4,401.88 / $6,294.69	Facility		$991.25	$4,401.88	$6,294.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,914.93 / $4,972.80 / $6,485.51	Professional		$1,914.93	$4,972.80	$6,485.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,960.00 / $3,433.60 / $5,020.39	Professional		$2,960.00	$3,433.60	$5,020.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.25 / $4,401.88 / $6,294.69	Facility		$991.25	$4,401.88	$6,294.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,082.05 / $3,412.50 / $5,079.93	Professional		$1,082.05	$3,412.50	$5,079.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,169.86 / $3,273.46 / $5,424.65	Professional		$2,169.86	$3,273.46	$5,424.65