Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,907.26 / $13,413.92 / $20,143.00	Facility		$2,907.26	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,687.46 / $4,687.46 / $6,096.37	Professional		$4,687.46	$4,687.46	$6,096.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,259.55 / $3,259.55 / $3,259.55	Professional		$3,259.55	$3,259.55	$3,259.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.33 / $4,687.46 / $6,703.07	Facility		$1,226.33	$4,687.46	$6,703.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,438.13 / $6,331.50 / $8,060.20	Professional		$2,438.13	$6,331.50	$8,060.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,768.75 / $4,371.75 / $6,168.80	Professional		$3,768.75	$4,371.75	$6,168.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,226.33 / $4,687.46 / $6,703.07	Facility		$1,226.33	$4,687.46	$6,703.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,342.35 / $4,198.50 / $6,301.98	Professional		$1,342.35	$4,198.50	$6,301.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,594.19 / $2,607.64 / $5,966.66	Professional		$2,594.19	$2,607.64	$5,966.66