Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,219.93 / $10,900.00 / $14,552.94	Facility		$5,219.93	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.59 / $8,623.21 / $9,419.07	Professional		$1,464.59	$8,623.21	$9,419.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,981.30 / $5,981.30 / $5,981.30	Professional		$5,981.30	$5,981.30	$5,981.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,203.78 / $8,623.21 / $12,331.20	Facility		$2,203.78	$8,623.21	$12,331.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,664.38 / $12,112.80 / $14,427.79	Professional		$4,664.38	$12,112.80	$14,427.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,210.00 / $8,397.00 / $12,119.80	Professional		$7,210.00	$8,397.00	$12,119.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,203.78 / $8,623.21 / $12,331.20	Facility		$2,203.78	$8,623.21	$12,331.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,625.80 / $8,136.00 / $12,588.07	Professional		$2,625.80	$8,136.00	$12,588.07
United Facility/Professional Professional Modifier Low / Median / High Price $4,785.04 / $7,218.74 / $11,136.74	Professional		$4,785.04	$7,218.74	$11,136.74