Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,523.95 / $10,900.00 / $14,552.94	Facility		$8,523.95	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14,081.45 / $14,081.45 / $18,711.80	Professional		$14,081.45	$14,081.45	$18,711.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,856.31 / $9,856.31 / $9,856.31	Professional		$9,856.31	$9,856.31	$9,856.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,592.00 / $14,081.45 / $20,136.47	Facility		$3,592.00	$14,081.45	$20,136.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,564.23 / $19,643.40 / $23,530.78	Professional		$7,564.23	$19,643.40	$23,530.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,692.50 / $13,668.00 / $19,819.80	Professional		$11,692.50	$13,668.00	$19,819.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,592.00 / $14,081.45 / $20,136.47	Facility		$3,592.00	$14,081.45	$20,136.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,326.30 / $13,374.00 / $20,585.57	Professional		$4,326.30	$13,374.00	$20,585.57
United Facility/Professional Professional Modifier Low / Median / High Price $7,885.04 / $7,885.04 / $18,313.70	Professional		$7,885.04	$7,885.04	$18,313.70