Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,974.83 / $13,413.92 / $20,143.00	Facility		$2,974.83	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.21 / $1,392.22 / $5,713.77	Professional		$1,153.21	$1,392.22	$5,713.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,517.51 / $2,517.51 / $3,425.26	Professional		$2,517.51	$2,517.51	$3,425.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,251.08 / $1,502.36 / $8,170.69	Facility		$1,251.08	$1,502.36	$8,170.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,478.55 / $2,974.26 / $7,187.85	Professional		$2,478.55	$2,974.26	$7,187.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,705.00 / $4,141.80 / $6,689.25	Professional		$3,705.00	$4,141.80	$6,689.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,502.36 / $1,502.36 / $8,170.69	Facility		$1,502.36	$1,502.36	$8,170.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,407.90 / $4,857.60 / $6,793.31	Professional		$1,407.90	$4,857.60	$6,793.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,624.69 / $2,740.20 / $8,297.76	Professional		$1,624.69	$2,740.20	$8,297.76