Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,577.00 / $14,552.94	Facility		$2,236.00	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,409.36 / $9,373.25 / $10,793.93	Professional		$2,409.36	$9,373.25	$10,793.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.75 / $1,430.75 / $6,972.57	Professional		$1,430.75	$1,430.75	$6,972.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.84 / $2,423.60 / $15,435.32	Facility		$537.84	$2,423.60	$15,435.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.05 / $3,040.95 / $7,671.55	Professional		$1,137.05	$3,040.95	$7,671.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.75 / $2,839.50 / $11,129.25	Professional		$1,653.75	$2,839.50	$11,129.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $656.28 / $3,190.02 / $15,435.32	Facility		$656.28	$3,190.02	$15,435.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,430.75 / $2,839.50 / $13,221.95	Professional		$1,430.75	$2,839.50	$13,221.95
United Facility/Professional Professional Modifier Low / Median / High Price $3,176.70 / $5,578.06 / $16,891.25	Professional		$3,176.70	$5,578.06	$16,891.25