Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,253.75 / $10,900.00 / $14,552.94	Facility		$3,253.75	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,767.99 / $6,134.81 / $7,156.41	Professional		$5,767.99	$6,134.81	$7,156.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,790.42 / $3,790.42 / $3,790.42	Professional		$3,790.42	$3,790.42	$3,790.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.04 / $6,134.81 / $8,772.78	Facility		$1,380.04	$6,134.81	$8,772.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,651.60 / $6,885.90 / $9,031.43	Professional		$2,651.60	$6,885.90	$9,031.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,098.75 / $4,754.55 / $6,996.00	Professional		$4,098.75	$4,754.55	$6,996.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.04 / $6,134.81 / $8,772.78	Facility		$1,380.04	$6,134.81	$8,772.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,507.65 / $4,750.50 / $7,078.02	Professional		$1,507.65	$4,750.50	$7,078.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,770.89 / $4,574.60 / $7,580.85	Professional		$2,770.89	$4,574.60	$7,580.85