Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,782.41 / $10,900.00 / $14,552.94	Facility		$2,782.41	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,596.49 / $4,596.49 / $6,015.81	Professional		$4,596.49	$4,596.49	$6,015.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.16 / $3,162.16 / $3,162.16	Professional		$3,162.16	$3,162.16	$3,162.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.17 / $4,596.49 / $6,572.98	Facility		$1,178.17	$4,596.49	$6,572.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.10 / $6,518.40 / $7,703.61	Professional		$2,510.10	$6,518.40	$7,703.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,880.00 / $4,500.80 / $6,448.20	Professional		$3,880.00	$4,500.80	$6,448.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,178.17 / $4,596.49 / $6,572.98	Facility		$1,178.17	$4,596.49	$6,572.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,384.63 / $4,324.50 / $6,697.34	Professional		$1,384.63	$4,324.50	$6,697.34
United Facility/Professional Professional Modifier Low / Median / High Price $2,529.73 / $3,816.38 / $5,887.82	Professional		$2,529.73	$3,816.38	$5,887.82