Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,787.47 / $10,900.00 / $14,552.94	Facility		$4,787.47	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.54 / $7,908.83 / $7,908.83	Professional		$1,584.54	$7,908.83	$7,908.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,087.72 / $5,490.34 / $7,302.61	Professional		$4,087.72	$5,490.34	$7,302.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,643.87 / $7,908.83 / $11,072.36	Facility		$1,643.87	$7,908.83	$11,072.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,280.25 / $5,136.30 / $10,427.20	Professional		$4,280.25	$5,136.30	$10,427.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,476.90 / $7,674.85 / $10,260.00	Professional		$5,476.90	$7,674.85	$10,260.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,643.87 / $7,908.83 / $11,072.36	Facility		$1,643.87	$7,908.83	$11,072.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,484.66 / $7,670.46 / $11,568.96	Professional		$2,484.66	$7,670.46	$11,568.96
United Facility/Professional Professional Modifier Low / Median / High Price $4,392.28 / $6,626.22 / $9,992.44	Professional		$4,392.28	$6,626.22	$9,992.44