Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,528.15 / $10,900.00 / $14,552.94	Facility		$3,528.15	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,828.44 / $5,828.44 / $7,683.42	Professional		$5,828.44	$5,828.44	$7,683.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,036.59 / $4,036.59 / $4,036.59	Professional		$4,036.59	$4,036.59	$4,036.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,490.62 / $5,828.44 / $8,334.67	Facility		$1,490.62	$5,828.44	$8,334.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,160.25 / $8,206.79 / $9,755.07	Professional		$3,160.25	$8,206.79	$9,755.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,885.00 / $5,683.50 / $8,197.20	Professional		$4,885.00	$5,683.50	$8,197.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,490.62 / $5,828.44 / $8,334.67	Facility		$1,490.62	$5,828.44	$8,334.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,773.18 / $5,497.50 / $8,513.91	Professional		$1,773.18	$5,497.50	$8,513.91
United Facility/Professional Professional Modifier Low / Median / High Price $3,229.26 / $4,871.68 / $7,519.94	Professional		$3,229.26	$4,871.68	$7,519.94