Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,510.79 / $13,413.92 / $20,143.00	Facility		$4,510.79	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,131.44 / $8,663.89 / $8,663.89	Professional		$8,131.44	$8,663.89	$8,663.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.30 / $1,666.30 / $5,001.29	Professional		$1,666.30	$1,666.30	$5,001.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.54 / $2,314.04 / $12,389.36	Facility		$1,902.54	$2,314.04	$12,389.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,780.50 / $4,536.60 / $10,790.74	Professional		$3,780.50	$4,536.60	$10,790.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,315.00 / $6,350.40 / $8,555.25	Professional		$5,315.00	$6,350.40	$8,555.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,314.04 / $2,314.04 / $12,389.36	Facility		$2,314.04	$2,314.04	$12,389.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,666.30 / $6,921.75 / $9,515.25	Professional		$1,666.30	$6,921.75	$9,515.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.01 / $4,001.04 / $6,185.00	Professional		$1,866.01	$4,001.04	$6,185.00