Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,129.27 / $10,900.00 / $14,552.94	Facility		$5,129.27	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,700.16 / $8,473.46 / $8,473.46	Professional		$1,700.16	$8,473.46	$8,473.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,371.14 / $5,850.04 / $7,851.60	Professional		$4,371.14	$5,850.04	$7,851.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,763.84 / $8,473.46 / $11,862.86	Facility		$1,763.84	$8,473.46	$11,862.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,597.25 / $5,516.70 / $11,199.45	Professional		$4,597.25	$5,516.70	$11,199.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,847.60 / $8,243.25 / $10,758.00	Professional		$5,847.60	$8,243.25	$10,758.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,763.84 / $8,473.46 / $11,862.86	Facility		$1,763.84	$8,473.46	$11,862.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,661.20 / $8,237.87 / $12,291.02	Professional		$2,661.20	$8,237.87	$12,291.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,328.58 / $7,060.33 / $10,647.09	Professional		$2,328.58	$7,060.33	$10,647.09