Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,330.41 / $11,709.00 / $20,143.00	Facility		$3,330.41	$11,709.00	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,369.75 / $5,369.75 / $7,150.63	Professional		$5,369.75	$5,369.75	$7,150.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,860.79 / $3,860.79 / $3,860.79	Professional		$3,860.79	$3,860.79	$3,860.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,395.36 / $5,369.75 / $7,678.74	Facility		$1,395.36	$5,369.75	$7,678.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,721.15 / $7,066.50 / $9,186.39	Professional		$2,721.15	$7,066.50	$9,186.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,206.25 / $4,879.25 / $6,998.20	Professional		$4,206.25	$4,879.25	$6,998.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,395.36 / $5,369.75 / $7,678.74	Facility		$1,395.36	$5,369.75	$7,678.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,510.50 / $4,905.00 / $7,091.40	Professional		$1,510.50	$4,905.00	$7,091.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,883.44 / $4,632.93 / $6,998.49	Professional		$2,883.44	$4,632.93	$6,998.49