Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,181.86 / $10,900.00 / $14,552.94	Facility		$3,181.86	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,130.24 / $5,130.24 / $6,493.90	Professional		$5,130.24	$5,130.24	$6,493.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,567.75 / $3,567.75 / $3,567.75	Professional		$3,567.75	$3,567.75	$3,567.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.18 / $5,130.24 / $7,336.24	Facility		$1,331.18	$5,130.24	$7,336.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,624.93 / $6,816.60 / $8,755.76	Professional		$2,624.93	$6,816.60	$8,755.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,057.50 / $4,706.70 / $6,461.40	Professional		$4,057.50	$4,706.70	$6,461.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,331.18 / $5,130.24 / $7,336.24	Facility		$1,331.18	$5,130.24	$7,336.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,415.50 / $4,558.50 / $6,645.40	Professional		$1,415.50	$4,558.50	$6,645.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,763.36 / $2,854.20 / $6,355.73	Professional		$2,763.36	$2,854.20	$6,355.73