Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,755.85 / $9,813.00 / $14,552.94	Facility		$3,755.85	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,749.84 / $7,213.89 / $7,213.89	Professional		$6,749.84	$7,213.89	$7,213.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.12 / $1,621.12 / $4,127.64	Professional		$1,621.12	$1,621.12	$4,127.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,587.80 / $1,939.86 / $10,315.86	Facility		$1,587.80	$1,939.86	$10,315.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,158.63 / $3,790.35 / $8,964.94	Professional		$3,158.63	$3,790.35	$8,964.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,381.25 / $5,314.95 / $7,147.98	Professional		$4,381.25	$5,314.95	$7,147.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,939.86 / $1,939.86 / $10,315.86	Facility		$1,939.86	$1,939.86	$10,315.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,406.00 / $5,690.85 / $7,823.25	Professional		$1,406.00	$5,690.85	$7,823.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,429.43 / $3,302.12 / $9,999.35	Professional		$1,429.43	$3,302.12	$9,999.35