Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.26 / $10,900.00 / $14,552.94	Facility		$3,019.26	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.61 / $4,987.76 / $4,987.76	Professional		$1,000.61	$4,987.76	$4,987.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,574.19 / $3,443.18 / $4,630.28	Professional		$2,574.19	$3,443.18	$4,630.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.61 / $4,987.76 / $6,982.86	Facility		$1,000.61	$4,987.76	$6,982.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,712.25 / $3,254.70 / $6,607.38	Professional		$2,712.25	$3,254.70	$6,607.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,445.20 / $4,863.30 / $6,440.00	Professional		$3,445.20	$4,863.30	$6,440.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.05 / $4,987.76 / $6,982.86	Facility		$1,040.05	$4,987.76	$6,982.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,567.16 / $4,855.41 / $7,268.59	Professional		$1,567.16	$4,855.41	$7,268.59
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.54 / $2,754.54 / $6,266.58	Professional		$2,754.54	$2,754.54	$6,266.58