Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,263.90 / $10,900.00 / $14,552.94	Facility		$3,263.90	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,391.88 / $5,391.88 / $5,391.88	Professional		$5,391.88	$5,391.88	$5,391.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,880.74 / $1,880.74 / $3,880.30	Professional		$1,880.74	$1,880.74	$3,880.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,391.88 / $7,548.63 / $7,710.39	Facility		$5,391.88	$7,548.63	$7,710.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,205.94 / $3,818.62 / $4,588.05	Professional		$3,205.94	$3,818.62	$4,588.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,546.40 / $4,774.50 / $6,387.25	Professional		$2,546.40	$4,774.50	$6,387.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,391.88 / $7,548.63 / $7,710.39	Facility		$5,391.88	$7,548.63	$7,710.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,511.93 / $3,270.53 / $7,273.16	Professional		$1,511.93	$3,270.53	$7,273.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,209.53 / $3,105.20 / $6,208.48	Professional		$1,209.53	$3,105.20	$6,208.48