Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,972.94 / $4,118.53 / $4,118.53	Professional		$3,972.94	$4,118.53	$4,118.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.54 / $1,066.54 / $2,464.32	Professional		$1,066.54	$1,066.54	$2,464.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $905.72 / $1,092.10 / $5,889.50	Facility		$905.72	$1,092.10	$5,889.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,796.05 / $2,155.26 / $5,182.18	Professional		$1,796.05	$2,155.26	$5,182.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,676.25 / $2,999.70 / $4,064.43	Professional		$2,676.25	$2,999.70	$4,064.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,092.10 / $1,092.10 / $5,889.50	Facility		$1,092.10	$1,092.10	$5,889.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $835.00 / $3,511.20 / $4,835.25	Professional		$835.00	$3,511.20	$4,835.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,561.46 / $4,561.46 / $4,561.46	Facility		$4,561.46	$4,561.46	$4,561.46
United Facility/Professional Professional Modifier Low / Median / High Price $856.93 / $1,971.46 / $5,969.90	Professional		$856.93	$1,971.46	$5,969.90