Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,417.42 / $9,813.00 / $14,552.94	Facility		$3,417.42	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.30 / $5,510.04 / $6,034.17	Professional		$1,266.30	$5,510.04	$6,034.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,942.62 / $3,942.62 / $3,942.62	Professional		$3,942.62	$3,942.62	$3,942.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,429.93 / $5,510.04 / $7,879.36	Facility		$1,429.93	$5,510.04	$7,879.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,796.35 / $7,261.80 / $9,419.48	Professional		$2,796.35	$7,261.80	$9,419.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,322.50 / $5,014.10 / $7,123.60	Professional		$4,322.50	$5,014.10	$7,123.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,429.93 / $5,510.04 / $7,879.36	Facility		$1,429.93	$5,510.04	$7,879.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,547.55 / $5,019.00 / $7,265.34	Professional		$1,547.55	$5,019.00	$7,265.34
United Facility/Professional Professional Modifier Low / Median / High Price $2,966.81 / $4,731.14 / $7,116.57	Professional		$2,966.81	$4,731.14	$7,116.57