Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $12,022.64 / $16,595.87	Facility		$5,011.87	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $8,912.51	Professional		$1,445.44	$1,905.46	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $12,589.25	Facility		$1,778.28	$2,570.40	$12,589.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $11,220.18	Professional		$3,548.13	$4,570.88	$11,220.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $9,332.54	Professional		$6,456.54	$6,456.54	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,912.51 / $12,882.50	Facility		$2,570.40	$8,912.51	$12,882.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,548.82 / $5,623.41	Professional		$60.26	$1,548.82	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,466.84 / $11,220.18	Professional		$4,073.80	$4,466.84	$11,220.18