Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,290.64 / $9,813.00 / $14,552.94	Facility		$3,290.64	$9,813.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.67 / $1,423.70 / $6,320.34	Professional		$1,225.67	$1,423.70	$6,320.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,793.83 / $3,793.83 / $3,793.83	Professional		$3,793.83	$3,793.83	$3,793.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.20 / $1,653.05 / $9,038.09	Facility		$1,380.20	$1,653.05	$9,038.09
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 / $7,391.25	Professional		$4,093.75	$4,564.35	$7,391.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,653.05 / $1,653.05 / $9,038.09	Facility		$1,653.05	$1,653.05	$9,038.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,555.63 / $5,383.95 / $7,506.23	Professional		$1,555.63	$5,383.95	$7,506.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.86 / $3,035.06 / $9,190.65	Professional		$1,696.86	$3,035.06	$9,190.65