Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,405.50 / $10,900.00 / $14,552.94	Facility		$2,405.50	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,973.83 / $3,973.83 / $5,220.29	Professional		$3,973.83	$3,973.83	$5,220.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,741.94 / $2,741.94 / $2,741.94	Professional		$2,741.94	$2,741.94	$2,741.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,017.16 / $3,973.83 / $5,682.58	Facility		$1,017.16	$3,973.83	$5,682.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,165.60 / $5,623.80 / $6,648.27	Professional		$2,165.60	$5,623.80	$6,648.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,347.50 / $3,885.00 / $5,590.20	Professional		$3,347.50	$3,885.00	$5,590.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,017.16 / $3,973.83 / $5,682.58	Facility		$1,017.16	$3,973.83	$5,682.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,199.84 / $3,748.50 / $5,806.19	Professional		$1,199.84	$3,748.50	$5,806.19
United Facility/Professional Professional Modifier Low / Median / High Price $2,193.54 / $3,309.19 / $5,109.22	Professional		$2,193.54	$3,309.19	$5,109.22