Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,710.77 / $10,900.00 / $14,552.94	Facility		$2,710.77	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,454.25 / $4,454.25 / $5,756.94	Professional		$4,454.25	$4,454.25	$5,756.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,110.05 / $3,110.05 / $3,110.05	Professional		$3,110.05	$3,110.05	$3,110.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,133.70 / $4,454.25 / $6,369.58	Facility		$1,133.70	$4,454.25	$6,369.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,316.00 / $6,014.40 / $7,475.13	Professional		$2,316.00	$6,014.40	$7,475.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,016.65 / $4,152.80 / $5,874.00	Professional		$3,016.65	$4,152.80	$5,874.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,133.70 / $4,454.25 / $6,369.58	Facility		$1,133.70	$4,454.25	$6,369.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,277.28 / $3,591.25 / $5,996.47	Professional		$1,277.28	$3,591.25	$5,996.47
United Facility/Professional Professional Modifier Low / Median / High Price $2,449.76 / $2,488.04 / $6,951.22	Professional		$2,449.76	$2,488.04	$6,951.22