Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $12,022.64	Facility		$9,120.11	$9,120.11	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $6,309.57	Professional		$1,202.26	$1,737.80	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $9,120.11	Facility		$1,230.27	$1,445.44	$9,120.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $6,309.57	Professional		$2,398.83	$2,884.03	$6,309.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,570.88 / $6,165.95	Professional		$4,073.80	$4,570.88	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $9,120.11	Facility		$1,230.27	$1,348.96	$9,120.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $912.01 / $3,801.89	Professional		$60.26	$912.01	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,019.95 / $9,120.11	Professional		$1,479.11	$3,019.95	$9,120.11