Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,291.48 / $9,285.00 / $14,552.94	Facility		$3,291.48	$9,285.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,247.08 / $6,321.96	Professional		$1,072.81	$1,247.08	$6,321.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,794.84 / $3,794.84 / $3,794.84	Professional		$3,794.84	$3,794.84	$3,794.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.20 / $1,653.05 / $9,040.40	Facility		$1,380.20	$1,653.05	$9,040.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,731.65 / $3,277.98 / $7,948.86	Professional		$2,731.65	$3,277.98	$7,948.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,093.75 / $4,564.35 / $6,181.74	Professional		$4,093.75	$4,564.35	$6,181.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,653.05 / $1,653.05 / $9,040.40	Facility		$1,653.05	$1,653.05	$9,040.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,407.38 / $5,369.10 / $7,391.25	Professional		$1,407.38	$5,369.10	$7,391.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,483.55 / $3,035.88 / $9,193.12	Professional		$1,483.55	$3,035.88	$9,193.12