Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,734.42 / $10,900.00 / $14,552.94	Facility		$2,734.42	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.85 / $4,517.22 / $5,926.37	Professional		$821.85	$4,517.22	$5,926.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,118.60 / $3,118.60 / $3,118.60	Professional		$3,118.60	$3,118.60	$3,118.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.90 / $4,517.22 / $6,459.64	Facility		$1,155.90	$4,517.22	$6,459.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,455.90 / $6,377.70 / $7,562.62	Professional		$2,455.90	$6,377.70	$7,562.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,796.25 / $4,411.50 / $6,284.14	Professional		$3,796.25	$4,411.50	$6,284.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,155.90 / $4,517.22 / $6,459.64	Facility		$1,155.90	$4,517.22	$6,459.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,338.55 / $4,255.50 / $6,578.52	Professional		$1,338.55	$4,255.50	$6,578.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,494.88 / $3,763.79 / $5,800.28	Professional		$2,494.88	$3,763.79	$5,800.28