Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,955.62 / $10,900.00 / $14,552.94	Facility		$5,955.62	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,838.56 / $9,838.56 / $13,017.30	Professional		$9,838.56	$9,838.56	$13,017.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,863.59 / $6,863.59 / $6,863.59	Professional		$6,863.59	$6,863.59	$6,863.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,512.60 / $9,838.56 / $14,069.14	Facility		$2,512.60	$9,838.56	$14,069.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,301.60 / $13,767.60 / $16,450.40	Professional		$5,301.60	$13,767.60	$16,450.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,195.00 / $9,559.50 / $13,820.40	Professional		$8,195.00	$9,559.50	$13,820.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,512.60 / $9,838.56 / $14,069.14	Facility		$2,512.60	$9,838.56	$14,069.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,011.03 / $9,313.50 / $14,354.37	Professional		$3,011.03	$9,313.50	$14,354.37
United Facility/Professional Professional Modifier Low / Median / High Price $5,490.88 / $5,490.88 / $12,740.34	Professional		$5,490.88	$5,490.88	$12,740.34