Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,427.56 / $13,413.92 / $20,143.00	Facility		$3,427.56	$13,413.92	$20,143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.75 / $1,515.81 / $6,583.35	Professional		$1,302.75	$1,515.81	$6,583.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,770.48 / $2,770.48 / $3,954.92	Professional		$2,770.48	$2,770.48	$3,954.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.37 / $1,720.17 / $9,414.19	Facility		$1,437.37	$1,720.17	$9,414.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,844.88 / $3,413.85 / $8,285.41	Professional		$2,844.88	$3,413.85	$8,285.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,262.50 / $4,749.30 / $7,699.50	Professional		$4,262.50	$4,749.30	$7,699.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,720.17 / $1,720.17 / $9,414.19	Facility		$1,720.17	$1,720.17	$9,414.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,619.75 / $5,588.55 / $7,819.27	Professional		$1,619.75	$5,588.55	$7,819.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,830.57 / $3,163.94 / $9,580.92	Professional		$1,830.57	$3,163.94	$9,580.92