Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,000.00 / $16,982.44	Facility		$2,344.23	$10,000.00	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $6,918.31	Professional		$1,380.38	$1,905.46	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $3,981.07	Professional		$1,122.02	$1,122.02	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $6,918.31	Facility		$1,412.54	$1,548.82	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $6,918.31	Professional		$2,754.23	$3,311.31	$6,918.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $6,918.31	Professional		$4,265.80	$5,128.61	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $10,000.00	Facility		$1,412.54	$1,584.89	$10,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,122.02 / $3,981.07	Professional		$60.26	$1,122.02	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,019.95 / $9,772.37	Professional		$1,348.96	$3,019.95	$9,772.37