Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,494.28 / $9,813.00 / $14,552.94	Facility		$2,494.28	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,021.60 / $4,021.60 / $5,233.72	Professional		$4,021.60	$4,021.60	$5,233.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.57 / $2,859.57 / $2,859.57	Professional		$2,859.57	$2,859.57	$2,859.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.47 / $4,021.60 / $5,750.89	Facility		$1,043.47	$4,021.60	$5,750.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.94 / $5,323.50 / $6,876.68	Professional		$2,049.94	$5,323.50	$6,876.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,168.75 / $3,675.75 / $5,141.39	Professional		$3,168.75	$3,675.75	$5,141.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,043.47 / $4,021.60 / $5,750.89	Facility		$1,043.47	$4,021.60	$5,750.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,116.25 / $3,654.00 / $5,240.50	Professional		$1,116.25	$3,654.00	$5,240.50
United Facility/Professional Facility Modifier Low / Median / High Price $20,822.43 / $20,822.43 / $20,822.43	Facility		$20,822.43	$20,822.43	$20,822.43
United Facility/Professional Professional Modifier Low / Median / High Price $2,175.46 / $3,431.49 / $5,122.38	Professional		$2,175.46	$3,431.49	$5,122.38