Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,406.38 / $5,220.29 / $5,220.29	Professional		$1,406.38	$5,220.29	$5,220.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.91 / $1,154.91 / $2,899.05	Professional		$1,154.91	$1,154.91	$2,899.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.98 / $1,430.11 / $7,465.01	Facility		$1,156.98	$1,430.11	$7,465.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.73 / $2,770.47 / $6,454.55	Professional		$2,308.73	$2,770.47	$6,454.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,050.00 / $3,896.10 / $5,224.64	Professional		$3,050.00	$3,896.10	$5,224.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,430.11 / $1,430.11 / $7,465.01	Facility		$1,430.11	$1,430.11	$7,465.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $984.00 / $3,938.55 / $5,420.25	Professional		$984.00	$3,938.55	$5,420.25
United Facility/Professional Facility Modifier Low / Median / High Price $7,542.00 / $7,542.00 / $7,542.00	Facility		$7,542.00	$7,542.00	$7,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $998.59 / $2,319.23 / $7,023.03	Professional		$998.59	$2,319.23	$7,023.03