Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,674.27 / $13,413.92 / $20,143.00	Facility		$3,674.27	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,924.13 / $5,924.13 / $7,911.13	Professional		$5,924.13	$5,924.13	$7,911.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,274.32 / $4,274.32 / $4,274.32	Professional		$4,274.32	$4,274.32	$4,274.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,538.79 / $5,924.13 / $8,471.51	Facility		$1,538.79	$5,924.13	$8,471.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,007.43 / $7,809.90 / $10,132.45	Professional		$3,007.43	$7,809.90	$10,132.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,648.75 / $5,392.55 / $7,788.00	Professional		$4,648.75	$5,392.55	$7,788.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,538.79 / $5,924.13 / $8,471.51	Facility		$1,538.79	$5,924.13	$8,471.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,690.53 / $5,451.00 / $7,936.57	Professional		$1,690.53	$5,451.00	$7,936.57
United Facility/Professional Professional Modifier Low / Median / High Price $3,187.62 / $3,419.46 / $7,742.81	Professional		$3,187.62	$3,419.46	$7,742.81