Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,420.28 / $10,900.00 / $14,552.94	Facility		$4,420.28	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,463.58 / $7,302.22 / $7,302.22	Professional		$1,463.58	$7,302.22	$7,302.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,772.27 / $5,062.78 / $6,751.59	Professional		$3,772.27	$5,062.78	$6,751.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,519.63 / $7,302.22 / $10,223.11	Facility		$1,519.63	$7,302.22	$10,223.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,958.40 / $4,750.08 / $9,643.15	Professional		$3,958.40	$4,750.08	$9,643.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,054.50 / $7,097.75 / $9,466.00	Professional		$5,054.50	$7,097.75	$9,466.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,519.63 / $7,302.22 / $10,223.11	Facility		$1,519.63	$7,302.22	$10,223.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,294.14 / $7,088.34 / $10,670.95	Professional		$2,294.14	$7,088.34	$10,670.95
United Facility/Professional Professional Modifier Low / Median / High Price $4,050.22 / $6,110.18 / $9,214.25	Professional		$4,050.22	$6,110.18	$9,214.25