Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,306.43 / $10,900.00 / $14,552.94	Facility		$4,306.43	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.25 / $7,114.15 / $7,114.15	Professional		$1,381.25	$7,114.15	$7,114.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,644.60 / $4,931.66 / $6,462.25	Professional		$3,644.60	$4,931.66	$6,462.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,381.25 / $7,114.15 / $9,959.81	Facility		$1,381.25	$7,114.15	$9,959.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,578.33 / $4,293.99 / $8,717.25	Professional		$3,578.33	$4,293.99	$8,717.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,798.20 / $6,745.83 / $8,786.00	Professional		$4,798.20	$6,745.83	$8,786.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,381.25 / $7,114.15 / $9,959.81	Facility		$1,381.25	$7,114.15	$9,959.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,187.00 / $6,745.83 / $9,887.20	Professional		$2,187.00	$6,745.83	$9,887.20
United Facility/Professional Professional Modifier Low / Median / High Price $3,942.83 / $5,951.96 / $9,863.35	Professional		$3,942.83	$5,951.96	$9,863.35