Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,428.56 / $9,813.00 / $14,552.94	Facility		$2,428.56	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,915.65 / $3,915.65 / $5,092.78	Professional		$3,915.65	$3,915.65	$5,092.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.47 / $2,784.47 / $2,784.47	Professional		$2,784.47	$2,784.47	$2,784.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,015.27 / $3,915.65 / $5,599.38	Facility		$1,015.27	$3,915.65	$5,599.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,996.60 / $5,184.89 / $6,692.08	Professional		$1,996.60	$5,184.89	$6,692.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,086.25 / $3,580.05 / $5,007.20	Professional		$3,086.25	$3,580.05	$5,007.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.27 / $3,915.65 / $5,599.38	Facility		$1,015.27	$3,915.65	$5,599.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,089.65 / $3,561.00 / $5,115.62	Professional		$1,089.65	$3,561.00	$5,115.62
United Facility/Professional Professional Modifier Low / Median / High Price $2,119.64 / $3,341.37 / $4,984.42	Professional		$2,119.64	$3,341.37	$4,984.42