Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,310.50 / $10,900.00 / $14,552.94	Facility		$3,310.50	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,468.88 / $5,468.88 / $7,128.58	Professional		$5,468.88	$5,468.88	$7,128.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,755.87 / $3,755.87 / $3,755.87	Professional		$3,755.87	$3,755.87	$3,755.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,401.76 / $5,468.88 / $7,820.50	Facility		$1,401.76	$5,468.88	$7,820.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,988.00 / $7,753.52 / $9,163.25	Professional		$2,988.00	$7,753.52	$9,163.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,618.75 / $5,357.75 / $7,164.99	Professional		$4,618.75	$5,357.75	$7,164.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,401.76 / $5,468.88 / $7,820.50	Facility		$1,401.76	$5,468.88	$7,820.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,526.18 / $5,137.50 / $7,638.40	Professional		$1,526.18	$5,137.50	$7,638.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,004.70 / $4,532.91 / $6,976.91	Professional		$3,004.70	$4,532.91	$6,976.91