Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $12,022.64 / $16,595.87	Facility		$4,786.30	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,786.30	Professional		$1,445.44	$2,089.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $7,079.46	Professional		$3,890.45	$5,248.07	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $10,715.19	Facility		$1,548.82	$2,344.23	$10,715.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $9,772.37	Professional		$4,168.69	$5,370.32	$9,772.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,918.31 / $9,332.54	Professional		$5,248.07	$6,918.31	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $8,317.64	Facility		$1,584.89	$2,290.87	$8,317.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $2,238.72 / $5,248.07	Professional		$60.26	$2,238.72	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $4,265.80 / $10,471.29	Professional		$1,949.84	$4,265.80	$10,471.29