Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.40 / $10,900.00 / $14,552.94	Facility		$2,464.40	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,973.46 / $3,973.46 / $5,170.47	Professional		$3,973.46	$3,973.46	$5,170.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,823.80 / $2,823.80 / $2,823.80	Professional		$2,823.80	$2,823.80	$2,823.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,030.73 / $3,973.46 / $5,682.05	Facility		$1,030.73	$3,973.46	$5,682.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,028.13 / $5,266.80 / $6,793.87	Professional		$2,028.13	$5,266.80	$6,793.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,135.00 / $3,636.60 / $5,086.39	Professional		$3,135.00	$3,636.60	$5,086.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,030.73 / $3,973.46 / $5,682.05	Facility		$1,030.73	$3,973.46	$5,682.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,106.75 / $3,612.00 / $5,195.89	Professional		$1,106.75	$3,612.00	$5,195.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,152.27 / $3,388.56 / $5,060.46	Professional		$2,152.27	$3,388.56	$5,060.46